Autoimmune Hemolytic Anemia Associated with Primary Biliary Cirrhosis
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概要
- 論文の詳細を見る
ABSTRACT : Both primary biliary cirrhosis (PBC) and autoimmune hemolytic anemia (AIHA) are uncommon diseases. Immunological dysregulation is suggested as a causative factor for both diseases. We report a 77-year-old woman who suffered from warm type AIHA complicated by PBC. Her direct antiglobulin test was positive for IgG, and negative for C3. Both anti-mitochondrial antibody and its M2 component were detected. Both alkaline phosphatase (Alp) and IgM were elevated in the serum. She was initially treated with steroids for 8 months. Her steroids were discontinued when she underwent a laparoscopic splenectomy. Ursodeoxycholic acid was discontinued due to an allergic skin reaction. Her Alp improved with bezafibrate.
- 日本総合診療医学会の論文
- 2008-10-01
著者
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Fukui Tsuguya
聖路加国際病院 一般内科
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Fukui Tsuguya
St Luke's International Hospital
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Fukui T
St. Luke's International Hospital
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TOKUDA Yasuharu
University of Tsukuba Graduate School of Human Sciences
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Omata Fumio
St. Luke's International Hospital
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Sato Shinkichi
Department Of Internal Medicine Radiology And Pathology. School Of Medicine Tokai University
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Tokuda Yasuharu
Mito Kyodo Hospital University Of Tsukuba
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Fukui Tsuguya
Center For Clinical Epidemiology St. Luke's Life Science Institute St. Luke's Internationa
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Takahashi Osamu
Center For Clinical Epidemiology St. Luke's Life Science Institute St. Luke's Internationa
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Fukui Tsuguya
Department Of General Medicine And Clinical Epidemiology Kyoto University Graduate School Of Medicin
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OMATA Fumio
St Luke's International Hospital
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TOKUDA Yasuharu
St Luke's International Hospital
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TAKAHASHI Osamu
St Luke's International Hospital
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Sato Shinkichi
Department Of Pathology Tokai University School Of Medicine
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Tokuda Yasuharu
Department Of Internal Medicine Mito Kyodo Hospital University Of Tsukuba
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