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World Journal of Gastroenterology
Article . 2015 . Peer-reviewed
Data sources: Crossref
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World Journal of Gastroenterology
Article
License: CC BY NC
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Autoimmune hepatitis-primary biliary cirrhosis concurrent with biliary stricture after liver transplantation

Authors: Yong-Zhen, Kang; Xiao-Ye, Sun; Yi-He, Liu; Zhong-Yang, Shen;

Autoimmune hepatitis-primary biliary cirrhosis concurrent with biliary stricture after liver transplantation

Abstract

Although the development of de novo autoimmune liver disease after liver transplantation (LT) has been described in both children and adults, autoimmune hepatitis (AIH)-primary biliary cirrhosis (PBC) overlap syndrome has rarely been seen in liver transplant recipients. Here, we report a 50-year-old man who underwent LT for decompensated liver disease secondary to alcoholic steatohepatitis. His liver function tests became markedly abnormal 8 years after LT. Standard autoimmune serological tests were positive for anti-nuclear and anti-mitochondrial antibodies, and a marked biochemical response was observed to a regimen consisting of prednisone and ursodeoxycholic acid added to maintain immunosuppressant tacrolimus. Liver biopsy showed moderate bile duct lesions and periportal lymphocytes infiltrating along with light fibrosis, which confirmed the diagnosis of AIH-PBC overlap syndrome. We believe that this may be a case of post-LT de novo AIH-PBC overlap syndrome; a novel type of autoimmune overlap syndrome.

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Keywords

Male, Cholagogues and Choleretics, Cholestasis, Liver Cirrhosis, Biliary, Ursodeoxycholic Acid, Middle Aged, Tacrolimus, Liver Transplantation, Hepatitis, Autoimmune, Treatment Outcome, Liver Function Tests, Humans, Prednisone, Immunosuppressive Agents, Fatty Liver, Alcoholic

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    popularity
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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Top 10%
Average
gold