Primary
  • Congenital (5%) - typically present in late infancy or childhood
  • Acquired idiopathic (autoimmune)
Secondary

(To a known Trigger)

  • Infection:
    • HIV
    • CMV
    • HBV / HCV
  • Pregnancy
  • Bone marrow transplant
  • Drugs:
    • COCP and hormonal treatments
    • Quinine
    • Interferon and immunosuppressants
    • Simvastatin
    • Antiplatelets
  • Malignancy
  • Acute pancreatitis