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- W2314835605 abstract "初診時の精査では原因の特定が困難な慢性肝炎が存在する．症例は71歳，女性．全身倦怠感，食思不振を主訴に来院した．B型，C肝炎ウィルスは陰性，自己抗体は陰性，IgGは1919 mg/dl，抗ミトコンドリア（M2）抗体陽性であった．総ビリルビン26.0 mg/dl，PT-INRは1.31であり重症化を示唆していたのでプレドニゾロン40 mg/dayにて治療を開始したところ速やかに肝機能は改善した．治療後の肝生検では小葉間胆管の破壊とけずりとり壊死がみられ，慢性肝炎（F1，A1）であった．今後自己免疫性肝炎（AIH），原発性胆汁性肝硬変（PBC），またはPBC-AIH overlap syndromeに推移する可能性があるcryptogenic chronic hepatitisと考えられた．" @default.
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- W2314835605 date "2014-01-01" @default.
- W2314835605 modified "2023-09-26" @default.
- W2314835605 title "A case of hepatitis hard to diagnose autoimmune hepatitis or primary biliary cirrhosis-autoimmune hepatitis overlap syndrome" @default.
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- W2314835605 doi "https://doi.org/10.2957/kanzo.55.360" @default.
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