RECURRENCE OF PRIMARY BILIARY-CIRRHOSIS AFTER LIVER-TRANSPLANTATION FOLLOWING FK506-BASED IMMUNOSUPPRESSION

被引:58
作者
WONG, PYN
PORTMANN, B
OGRADY, JG
DEVLIN, JJ
HEGARTY, JE
TAN, KC
WILLIAMS, R
机构
[1] KINGS COLL HOSP & SCH MED & DENT,INST LIVER STUDIES,LONDON SE5 8RS,ENGLAND
[2] ST VINCENTS HOSP,DUBLIN 4,IRELAND
关键词
PRIMARY BILIARY CIRRHOSIS; ORTHOTOPIC LIVER TRANSPLANTATION; GRAFT DYSFUNCTION; CHOLESTASIS; LIVER BIOPSY;
D O I
10.1016/S0168-8278(05)80206-5
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
We report two cases of recurrence of primary biliary cirrhosis (PBC) in the transplanted liver whilst maintained on a FK506-based immunosuppressive regime, the first to be described. One patient experienced symptoms in association with the development of cholestasis. In both there was a persistence of serological markers of PBC and liver histology revealed florid bile duct destruction and a granulomatous reaction.
引用
收藏
页码:284 / 287
页数:4
相关论文
共 10 条
[1]  
BUIST LJ, 1989, TRANSPLANT P, V21, P2402
[2]   PATHOLOGIC ANALYSIS OF LIVER-TRANSPLANTATION FOR PRIMARY BILIARY-CIRRHOSIS [J].
DEMETRIS, AJ ;
MARKUS, BH ;
ESQUIVEL, C ;
VANTHIEL, DH ;
SAIDMAN, S ;
GORDON, R ;
MAKOWKA, L ;
SYSYN, GD ;
STARZL, TE .
HEPATOLOGY, 1988, 8 (04) :939-947
[3]   SUBTYPES OF ANTIMITOCHONDRIAL ANTIBODIES IN PRIMARY BILIARY-CIRRHOSIS BEFORE AND AFTER ORTHOTOPIC LIVER-TRANSPLANTATION [J].
HAAGSMA, EB ;
MANNS, M ;
KLEIN, R ;
GROND, J ;
HUIZENGA, JR ;
SLOOFF, MJH ;
ZUMBUSCHENFELDE, KHM ;
BERG, PA ;
GIPS, CH .
HEPATOLOGY, 1987, 7 (01) :129-133
[4]   PRIMARY BILIARY-CIRRHOSIS AND LIVER-TRANSPLANTATION [J].
JONES, EA .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 306 (01) :41-43
[5]  
LOMBARD M, IN PRESS GASTROENTER
[6]   RECURRENCE OF PRIMARY BILIARY-CIRRHOSIS AFTER LIVER-TRANSPLANTATION [J].
NEUBERGER, J ;
PORTMANN, B ;
MACDOUGALL, BRD ;
CALNE, RY ;
WILLIAMS, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 306 (01) :1-4
[7]   EVIDENCE FOR DISEASE RECURRENCE AFTER LIVER-TRANSPLANTATION FOR PRIMARY BILIARY-CIRRHOSIS - CLINICAL AND HISTOLOGIC FOLLOW-UP STUDIES [J].
POLSON, RJ ;
PORTMANN, B ;
NEUBERGER, J ;
CALNE, RY ;
WILLIAMS, R .
GASTROENTEROLOGY, 1989, 97 (03) :715-725
[8]   THE MECHANISM OF ACTION OF CYCLOSPORINE-A AND FK506 [J].
SCHREIBER, SL ;
CRABTREE, GR .
IMMUNOLOGY TODAY, 1992, 13 (04) :136-142
[9]   PRESENTATION AND DIAGNOSIS OF 100 PATIENTS WITH PRIMARY BILIARY CIRRHOSIS [J].
SHERLOCK, S ;
SCHEUER, PJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1973, 289 (13) :674-678
[10]   A CONTROLLED TRIAL OF CYCLOSPORINE IN THE TREATMENT OF PRIMARY BILIARY-CIRRHOSIS [J].
WIESNER, RH ;
LUDWIG, J ;
LINDOR, KD ;
JORGENSEN, RA ;
BALDUS, WP ;
HOMBURGER, HA ;
DICKSON, ER .
NEW ENGLAND JOURNAL OF MEDICINE, 1990, 322 (20) :1419-1424