Primary sclerosing cholangitis is a cholestatic disease of unknown origin.
Occasionally, this disease is combined with different of probable autoimmun
e genesis, particularly with ulcerative colitis (> 50%).
The reported case describes the rare subsequent development of primary scle
rosing cholangitis, ulcerative colitis and insulin-dependent diabetes melli
tus (IDDM) in a 22-year-old male patient. The coincidence of primary sclero
sing cholangitis and IDDM supports the assumption of common factors in the
etiopathogenesis of both diseases.