Presence of anti-mitochondrial antibodies and elevated serum immunoglobulin G levels

dc.contributor.authorMuttaqillah, Najihan Abdul Samat
dc.contributor.authorAbdul Wahab, Asrul
dc.contributor.authorDing, Chuan Hun
dc.contributor.authorMohammad, Marlyn
dc.contributor.authorBiswas, Suvra
dc.contributor.authorRahman, Md. Mostafizur
dc.date.accessioned2015-04-22T12:45:59Z
dc.date.available2015-04-22T12:45:59Z
dc.date.issued2015-01-30
dc.description.abstractPrimary biliary cirrhosis in combination with autoimmune hepatitis has been termed “overlap syndrome”, but its diagnosis is challenging. We report a case of a 43-year-old lady who presented with a six-month history of jaundice and pruritus. She subsequently developed gum bleeds. Laboratory investigations revealed hypochromic microcytic anemia, abnormal coagulation profiles, elevated serum alanine transferase and alkaline phosphatase levels, and raised serum IgG and IgM levels. Her serum was also positive for anti-nuclear and anti-mitochondrial antibodies. The findings from her abdominal CT scan were suggestive of early liver cirrhosis and the histopathological examination results of her liver biopsy were consistent with primary biliary cirrhosis. The patient was treated with ursodeoxycholic acid and her liver function test parameters normalized after six months.en
dc.identifier.issn1611-2156
dc.identifier.urihttp://hdl.handle.net/2003/34060
dc.identifier.urihttp://dx.doi.org/10.17877/DE290R-7977
dc.language.isoen
dc.relation.ispartofseriesEXCLI Journal ; Vol. 14, 2015en
dc.subjectautoimmune hepatitisen
dc.subjectanti-mitochondrial antibodyen
dc.subjectanti-nuclear antibodyen
dc.subjectoverlap syndromeen
dc.subjectprimary biliary cirrhosisen
dc.subject.ddc610
dc.titlePresence of anti-mitochondrial antibodies and elevated serum immunoglobulin G levelsen
dc.title.alternativeIs this primary biliary cirrhosis-autoimmune hepatitis overlap syndrome?en
dc.typeText
dc.type.publicationtypearticle
dcterms.accessRightsopen access
eldorado.dnb.zdberstkatid2132560-1

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