Familial auto-immune hepatitis and C4 deficit.

被引:4
作者
Constans, J [1 ]
Bernard, P [1 ]
Bioulac-Sage, P [1 ]
Barcat, D [1 ]
Conri, C [1 ]
机构
[1] Hop St Andre, Serv Med Interne & Pathol Vasc, F-33075 Bordeaux, France
来源
REVUE DE MEDECINE INTERNE | 1998年 / 19卷 / 10期
关键词
auto-immune hepatitis; systemic lupus erythematosus; deficit in complement;
D O I
10.1016/S0248-8663(98)80709-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction. - Familial auto-immune hepatitis is unusual. We report a case in which hepatitis was associated with a deficiency in the C4 component of the complement. Exegesis. - Type I auto-immune hepatitis A was diagnosed in a 38-year-old woman presenting with systemic lupus erythematosus. Her daughter had to undergo a splenectomy for immunologic thrombocytopenic purpura when she was 9 years old. When she turned 13, she further developed type I autoimmune hepatitis. During follow-up (4 and 8 years, respectively), both patients had a mild deficiency in C4. Conclusion. - C4 deficiency is not only frequently observed in relatives of patients with auto-immune hepatitis, but also in familial systemic lupus. This abnormality may have had a crucial pathogenic role in these Two patients. (C) 1998 Elsevier, Paris.
引用
收藏
页码:731 / 733
页数:3
相关论文
共 6 条
[1]  
Agnello V, 1978, Arthritis Rheum, V21, pS146
[2]  
BUCKMAN KJ, 1978, ARCH INTERN MED, V138, P674
[3]  
LAWRENCE JS, 1987, J RHEUMATOL, V14, P913
[4]   HLA A1-B8-DR3 AND SUPPRESSOR-CELL FUNCTION IN 1ST-DEGREE RELATIVES OF PATIENTS WITH AUTOIMMUNE CHRONIC ACTIVE HEPATITIS [J].
NOURIARIA, KT ;
DONALDSON, PT ;
HEGARTY, JE ;
EDDLESTON, ALWF ;
WILLIAMS, R .
JOURNAL OF HEPATOLOGY, 1985, 1 (03) :235-241
[5]   THE SPECTRUM OF LIVER-DISEASE IN SYSTEMIC LUPUS-ERYTHEMATOSUS - REPORT OF 33 HISTOLOGICALLY-PROVED CASES AND REVIEW OF THE LITERATURE [J].
RUNYON, BA ;
LABRECQUE, DR ;
ANURAS, S .
AMERICAN JOURNAL OF MEDICINE, 1980, 69 (02) :187-194
[6]   EARLY-ONSET AUTOIMMUNE HEPATITIS IS ASSOCIATED WITH A C4A GENE DELETION [J].
SCULLY, LJ ;
TOZE, C ;
SENGAR, DPS ;
GOLDSTEIN, R .
GASTROENTEROLOGY, 1993, 104 (05) :1478-1484