XXXX and @entity1593 . A novel association.

@entity1 @entity1593 @entity353 @entity6123 @entity409 @entity991 @entity31 @entity194
The association of @entity991 and @entity1593 was observed in three @entity1 , an association not previously reported. All three @entity1 were @entity1 who presented with chronic @entity409 at ages 32, 46, and 62 years, respectively. In each @entity1 , endoscopic retrograde cholangiography showed the typical findings of @entity991 . Histologic features of liver biopsy were compatible with the diagnosis. Two @entity1 had associated chronic @entity31 . All three @entity1 complained of frequent loose stools and @entity353 ; subsequent testing showed severe @entity6123 (204 to 323 mmol/d of fecal fat on a 100 g fat diet). @entity194 was found in all three @entity1 on histologic examination of the small bowel. @entity1593 was diagnosed at the time of presentation in two @entity1 who had @entity991 and was diagnosed three years after the onset of @entity991 in the third @entity1 . The @entity1593 responded to a gluten-free diet in each @entity1 whereas the @entity991 was not affected by dietary treatment. The possibility of a chance association of @entity991 and @entity1593 cannot be accurately assessed but seems unlikely given the rarity of both diseases. The relationship between the two diseases remains unknown, although an immunologic connection is suspected. @entity1593 should be considered in the differential diagnosis of severe @entity6123 in @entity1 with @entity991 .
