Evolución de cirrosis biliar primaria a síndrome de solapamiento con hepatitis autoinmune en paciente con hepatitis B crónica
| Autor: | Isabel Marquina Ibáñez, José Carlos Erdozaín Sosa, Óscar Núñez Martínez, Elena Ruiz Bravo-Burguillos, Alfonso Encinas Sotillos |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Budesonide
Hepatitis B virus medicine.medical_specialty Hepatology medicine.diagnostic_test business.industry Gastroenterology Overlap syndrome Autoimmune hepatitis medicine.disease_cause medicine.disease digestive system diseases Ursodeoxycholic acid Transaminase Primary biliary cirrhosis Liver biopsy Internal medicine Medicine business medicine.drug |
| Zdroj: | Gastroenterología y Hepatología. 36:382-387 |
| ISSN: | 0210-5705 |
| DOI: | 10.1016/j.gastrohep.2012.07.007 |
| Popis: | We describe the case of a female patient with a previous diagnosis of primary biliary cirrhosis (PBC) and chronic hepatitis B in inactive phase who developed increased transaminase levels with no evidence of hepatitis B virus reactivation while receiving ursodeoxycholic acid treatment. A liver biopsy showed changes compatible with overlapping autoimmune hepatitis (AIH). Budesonide treatment achieved normalization of transaminase levels. We provide a review of PBC and AIH overlap syndrome and discuss the particular features of this case that led us to this diagnosis, as well as the treatment provided. |
| Databáze: | OpenAIRE |
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