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Interlobular bile ducts showing pericholangitis with concentric fibrosis as well as prominent degenerative changes and damage of the epithelium. (H-E x 200) 

Interlobular bile ducts showing pericholangitis with concentric fibrosis as well as prominent degenerative changes and damage of the epithelium. (H-E x 200) 

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The present case refers to an acute icteric cholestatic syn-drome of unknown aetiology in a 37-year old man. The un-derlying biliary disease was of mixed type combining fea-tures of diffuse pleomorphic cholangitis and focal sclerosing cholangitis affecting interlobular bile ducts. Our case met the inclusion and exclusion criteria of idiopathic adul...