Sarcoidosis in a Patient with Systemic Sclerosis and Primary Biliary Cirrhosis
スポンサーリンク
概要
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A 73-year-old woman who had been diagnosed with systemic sclerosis was admitted for further examination of bilateral hilar lymphadenopathy. Sarcoidosis was confirmed based on elevated serum levels of angiotensin-converting enzyme, a high proportion of lymphocytes and a high CD4/CD8 ratio in bronchoalveolar lavage fluid, abnormal 67Gallium uptake in the mediastinum and noncaseating granulomas in skin biopsy specimens. In addition, high levels of antimitochondrial M2 antibodies and alkaline phosphatase indicated primary biliary cirrhosis (PBC). Here we describe a rare triplex of sarcoidosis, SSc and PBC. Although the etiology of this complex remains unknown, these three diseases might share some pathogenesis.
著者
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Sakamoto Noriho
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Ishimatsu Yuji
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Amenomori Misato
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Fujita Hanako
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Mukae Hiroshi
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Ho
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KAKUGAWA Tomoyuki
the Second Department of Internal Medicine, Nagasaki University School of Medicine
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Kohno Shigeru
The Scientific Assembly For Infection And Tuberculosis Of The Japanese Respiratory Society
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Hara Atsuko
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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Hara Shintaro
The Second Department of Internal Medicine, Nagasaki University School of Medicine
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