書誌事項
- タイトル別名
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- Asymptomatic intrahepatic sclerosing cholangitis.
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A 54 y.o. woman, who is completely asymptomatic, is reported to have primary sclerosing cholangitis (PSC) localized in the intrahepatic biliary tree alone. The liver function disorder was noticed by chance, representing a marked cholestatic pattern with slightly elevated IgM and weakly positive anti-mitochondrial antibody (AMA). The liver histology showed bile duct loss and ductular proliferation with lympho-plasmocytic infiltration in the portal tract. She was then diagnosed as a probable primary biliary cirrhosis (PBC) and treated with D-penicillamine. After about 4 years, during which the levels of the bile duct enzymes and IgM gradually dropped, her liver disease was re-evaluated. The liver histology showed mild ductular changes and portal fibrosis. AMA was not detectable. ERCP showed a diffuse costricturing and beaded appearances of the intrahepatic biliary tree, whereas the extrahepatic biliary system was normal. The diagnosis of intrahepatic PSC was finally made.
収録刊行物
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- 肝臓
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肝臓 27 (4), 515-522, 1986
一般社団法人 日本肝臓学会
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詳細情報 詳細情報について
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- CRID
- 1390001204791415680
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- NII論文ID
- 130000880931
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- ISSN
- 18813593
- 04514203
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可