POLYMYOSITIS ASSOCIATED WITH PRIMARY BILIARY-CIRRHOSIS

被引：17

作者：

BOKI, KA

DOURAKIS, SP

机构：

[1] Department of Rheumatology, 'KAT' Hospital, Athens

[2] Department of intrnal Medicine, 'Ippokration' Hospital, Athens

来源：

CLINICAL RHEUMATOLOGY | 1995年 / 14卷 / 03期

关键词：

POLYMYOSITIS; PRIMARY BILIARY CIRRHOSIS; AUTOIMMUNE DISEASES;

D O I：

10.1007/BF02208358

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The coexistence of polymyositis (PM) and primary biliary cirrhosis (PBC) is rare; only nine cases have been described in English literature. We report a case of a 46-year- old woman presenting with these two autoimmune diseases. The diagnosis of PM was based on the symmetrical, proximal limb muscle weakness, elevated muscle enzymes and was confirmed with the electromyography and muscle biopsy, The diagnosis of PBC was based on the increased serum levels of alkaline phosphatase, gamma glutamyltransferase, IgM immunoglobulin, the presence of antimitochondrial antibodies and diagnostic liver biopsy.

引用

页码：375 / 378

页数：4

共 13 条

[1]

Dalakas M.C., Polymositis, dermatomyositis, and inclusion-body myositis, N Engl J Med, 325, pp. 1487-1498, (1991)

[2]

Uhl G.S., Baldwin J.L., Arnett F.C., Primary biliary cirrhosis in systemic sclerosis (scleroderma) and polymyositis, Johns Hopkins Med J, 135, pp. 191-198, (1974)

[3]

Wilson R.A., Therapeutic quandary-asymptomatic priomary biliary cirrhosis associated with polymyositis, Digestive Diseases and Sciences, 26, pp. 372-375, (1981)

[4]

Dan P.C., Plasmapheresis in idiopathic inflamamatory myopathy experience with 35 patients, Arch eurol, 38, pp. 544-552, (1981)

[5]

Milosevic M., Ada P., Prmary biliary cirrhosis and polymyositis, J Clin Gastroenterol, 12, pp. 332-335, (1990)

[6]

Mader R., Blake R., Keystone E.C., Polymyositis associated with primary biliary cirrhosis, J Rheumatol, 18, 11, pp. 1767-1768, (1991)

[7]

Yasuda Y., Nakano S., Akiguchi I., Tanaka M., Kameyama M., Polymositis associated with asymptomatic primary biliary cirrhosis, Eur Neurol, 33, 1, pp. 51-53, (1993)

[8]

Varga J., Heiman-Patterson T., Munoz S., Love L.A., Myopathy with mitochondrial alterations in patients with primary biliary cirrhosis and antimitocheondrial antibodies, Arthritis Rheum, 36, pp. 1468-1475, (1993)

[9]

Bradley J.D., Pinals R.S., Gupta R.C., Chronic active hepatitis associated with polymositis: association with precipitating mitochrondrial M-B antibody, J Rheumatol, 12, pp. 368-371, (1985)

[10]

Golding R.L., Smith M., Willia R., Multisystem involvement in chronic liver disease. Studies on the indicence and pathogenesis, Am J Med, 55, pp. 772-775, (1973)

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