A feature of human ulcerative colitis is the occurrence of extraintest
inal manifestations of the disease: ankylosing spondylitis, peripheral
arthropathy, iritis, iridoconjunctivitis, episcleritis and liver dise
ases (fatty liver, mild periportal chronic inflammation, and sclerosin
g cholangitis). More rarely, cholangiocarcinoma, hepatic abscesses, or
cirrhosis are seen. The cotton-top tamarin (CTT) develops a noninfect
ive spontaneously occurring colitis which closely resembles human ulce
rative colitis clinically, endoscopically, histologically, and in resp
onse to treatment. This study evaluated liver and joint disease in CTT
s with colitis. Livers from 100 cotton-top tamarins with ulcerative co
litis were examined histologically at postmortem; 40 had varied pathol
ogy: steatosis (16), hepatitis (4), and abscess (4). Four animals had
excessive portal fibrosis in the absence of significant inflammation a
nd which resembled sclerosing cholangitis. Neither skeletal radiograph
s of 217 CTTs, including 43 that were > 10 yr of age, nor histological
examination of synovia from 10 knees, showed abnormalities. The findi
ngs of sclerosing cholangitis-like liver abnormalities strengthen the
role of the CTT as a unique animal model of human ulcerative colitis.