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Fig. 9 —27-year-old woman with ulcerative colitis and overlap
syndrome of primary sclerosing cholangitis (PSC) and autoimmune hepatitis.
Endoscopic retrograde cholangiogram shows intrahepatic ductal disease
suggestive of PSC but no extrahepatic disease. Positive
anti–smooth-muscle antibody titer led to addition of steroids to
treatment regimen.