A 74-year-old man with painless jaundice 10 years after renal transplantation

A 74-year-old man was admitted to a hospital because of jaundice, which is usually a sign of liver disease. He tested positive for the hepatitis C virus, which he probably contracted when he received dialysis for kidney failure 10 years before. At that time, he received a kidney transplant. Tests also revealed that he had cryoglobulins in his blood. This is a common complication of hepatitis C. However, he had no sign of chronic liver disease. A liver biopsy showed that he had fibrosing cholestatic hepatitis, which is a form of viral hepatitis.