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WHY SHOULD BRIC NOT BE LABELLED AS A "CLUSTER" JAUNDICE
O P Kapoor
Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
Over the years I have found that one of the most common mistakes which the doctors do is to miss the diagnosis of BRIC (benign recurrent intra-hepatic cholestasis). Most of these attacks of repeated jaundice are labelled with a loose diagnosis.
I see occasionally migraine patients who have “cluster” headaches. These headaches occur once or twice a year at a fixed time daily for a period of few days to few weeks and then completely disappear to re-appear after few months or years. This is what exactly happens to a patient who suffers from BRIC and who gets attacks of cholestatic jaundice with pruritus every few years. These attacks can last for as many as few months and no cause is found. Thus they resemble very much patients of cluster headaches.
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