Development of Hepatocellular Carcinoma in a Woman with HBV- and HCV-negative Autoimmune Hepatitis with Unsatisfactory Response to Corticosteroid
スポンサーリンク
概要
- 論文の詳細を見る
A 57-year-old woman was admitted due to a hemorrhage from esophageal varices. Laboratory tests showed liver dysfunction, elevated immunoglobulin G levels and positivity for anti-nuclear antibodies. Serum hepatitis B virus and hepatitis C virus markers were negative. The liver biopsy specimen was compatible with autoimmune hepatitis, and low-dose prednisolone was started. During the follow-up, her serum alanine aminotransferase levels continued to fluctuate between 40 and 60 IU/l. Nine years later, hepatocellular carcinoma 20 mm in diameter was detected. This case suggests that hepatocellular carcinoma develops even if serum alanine aminotransferase levels are maintained at less than twice the upper normal limit.
- 社団法人 日本内科学会の論文
著者
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Kobayashi Yoshiyuki
Department of Cardiology, Hirai Hospital
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TANAKA Hironori
Department of Laboratory Medicine, Nagasaki University School of Medicine
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MIYAKE YASUHIRO
Department of Surgery and Clinical Oncology, Graduate School of Medicine, Osaka University
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SHIRATORI YASUSHI
Department of Gastroenterology, Faculty of Medicine, University of Tokyo
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FUJIOKA Shin-ichi
Department of Internal Medicine, Okayama Saiseikai General Hospital
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IWASAKI Yoshiaki
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Denti
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SAKAGUCHI Kohsaku
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Denti
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Nakamura Shinichiro
Department Of Veterinary Pathology Nippon Veterinary And Animal Science University
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Miyake Yasuhiro
Okayama Univ. Graduate School Of Medicine Dentistry And Pharmaceutical Sci. Okayama Jpn
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Iwasaki Yoshiaki
Department Of Gastroenterology & Hepatology Okayama University Graduate School Of Medicine Denti
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Sakaguchi Kohsaku
Department Of Gastroenterology & Hepatology Okayama University Graduate School Of Medicine Denti
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Fujioka Shin-ichi
Department Of Internal Medicine Okayama Saiseikai General Hospital
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Shiratori Yasushi
Department Of Gastroenterology And Hepatology Okayama University Graduate School Of Medicine Dentist
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Miyake Yasuhiro
Department Of Gastroenterology & Hepatology Okayama University Graduate School Of Medicine Denti
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Miyake Yasuhiro
Department Of Molecular Hepatology Okayama University Graduate School Of Medicine Dentistry And Phar
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Nakamura Shinichiro
Department Of Orthopaedic Surgery Graduate School Of Medicine Chiba University
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Fujioka Shin-ichi
Department Of Gastroenterology And Hepatology Okayama University Graduate School Of Medicine Dentist
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Tanaka Hironori
Department Of Applied Molecular Biosciences Graduate School Of Bioagricultural Sciences Nagoya Unive
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Kobayashi Yoshiyuki
Department Of Cardiology Hirai Hospital
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Kobayashi Yoshiyuki
Department Of Applied Chemistry Keio University Hiyoshi
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Nakamura Shinichiro
Department Of Gastroenterology And Hepatology Okayama University Graduate School Of Medicine Dentist
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Iwasaki Yoshiaki
Department Of Diagnostic Pathology Graduate School Of Medicine The University Of Tokyo
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SHIRATORI Yasushi
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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SAKAGUCHI Kohsaku
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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TANAKA Hironori
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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FUJIOKA Shin-ichi
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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NAKAMURA Shinichiro
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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MIYAKE Yasuhiro
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
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