Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
A Patient with Takayasu's Arteritis Treated with Corticosteroids Who Developed Primary Biliary Cirrhosis
Satoshi ITOShogo OHKOSHITomoyoshi AOYAGIKenta SUZUKITohru TAKAHASHIMinoru NOMOTOMasaaki NAKANOMasaaki ARAKAWAHitoshi ASAKURAFumitake GEJYO
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2003 Volume 42 Issue 5 Pages 443-445

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Abstract

A 40-year-old woman with a history of fever and arthralgia since age 17 had received long-term prednisolone (PSL) therapy. She was diagnosed with Takayasu's arteritis in 1980 and given PSL. The symptoms were well controlled until she developed itching in 1998. Laboratory tests showed elevated levels of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma-glutamyltranspeptidase, total cholesterol, and immunoglobulin M (IgM). She tested positive for anti-mitochondria antibody and for both IgG and IgM anti-pyruvate dehydrogenases. Liver biopsy findings were typical of primary biliary cirrhosis (PBC). Our pa tient's clinical course suggested that an adequate amount of PSL to control Takayasu's arteritis does not necessarily prevent the development of PBC.
(Internal Medicine 42: 443-445, 2003)

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