Idiopathic adulthood ductopenia is a chronic cholestatic entity of unknown
origin that was discovered in the past decade. Although it is classically a
progressive and severe disease, a benign and responsive-to-therapy form ha
s been reported recently. We present two middle-aged females that represent
the extremes of the clinicopathologic spectrum: One with a severe form of
the disease for whom liver transplantation was considered and the other wit
h a benign form.