A case of autoimmune hepatitis with positive hepatitis C antibody
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摘要:
<正>1病例资料患者女性,50岁,因"反复右胁部隐痛不适伴乏力1年余,加重1个月"入院。患者1年前无明显诱因下出现右胁部隐痛,伴乏力、腹胀、呃逆,呈进行性加重,自行服用中草药"鱼腥草",症状未见好转,后出现身目黄染,小便洗肉水样,至当地人民医院就诊,期间查"ALT>900 U/L",诊断为"慢性丙型肝炎"。服用"多烯磷脂酰胆碱、复方甘草酸苷、双环醇、葡醛内酯、复合维生素B",病情控制欠佳。1年内反复5次转氨酶升
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Key words:
- hepatitis,autoimmune /
- hepatitis C antibodies /
- case reports
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[1]ALVAREZ F,BERG PA,BIANCHI FB,et al.International autoimmune hepatitis group report:review of criteria for diagnosis of autoimmune hepatitis[J].J Hepatol,1999,31(5):929-938. [2]CACOUB P,RENOU C,ROSENTHAL E,et al.Extrahepatic manifestations associated with hepatitis C virus infection.A prospective multicenter study of 321 patients[J].Medicine(Baltimore),2000,79(1):47-56. [3]WANG XW,WANG JB,MENG XW.Comparison of the serum autoantibody levels in autoimmune hepatitis and HCV infection with autoimmune phenomenon[J].Chin J Hepatol,2004,12(3):176-177.(in Chinese)王宵伟,王江滨,孟祥伟.自身免疫性肝炎与丙型肝炎伴自身免疫现象者抗体水平的比较及临床分析[J].中华肝脏病杂志,2004,12(3):176-177. [4]CHEN Z,PAN XC.Hepatitis C and autoimmune diseases[J].Chin J Hepatol,2006,14(3):236-237.(in Chinese)陈智,潘修成.丙型肝炎与自身免疫性疾病[J].中华肝脏病杂志,2006,14(3):236-237. [5]HU Y,KUBOKI M,LIU YL.Autoimmune phenomenon in hepatitis C:differential diagnosis and therapeutic principle[J].Chin J Gastroenterol,2010,15(10):577-579.(in Chinese)胡莹,久保木真,刘玉兰.丙型肝炎的自身免疫现象——鉴别诊断和治疗原则[J].胃肠病学,2010,15(10):577-579. [6]WU HL,DUAN ZP,ZHENG SJ.Hepatitis C virus infection and autoimmunity[J].World Chin J Dig,2010,20(28):2678-2684.(in Chinese)伍慧丽,段钟平,郑素军.丙型肝炎病毒感染与自身免疫的关系[J].世界华人消化杂志,2010,20(28):2678-2684. [7]SCHEUER PJ,LEFKOWITCH JH.Scheuer's liver biopsy interpretation[M].8th ed.Saunders:Elsevier,2010:145-149. [8]SCHIFF ER,MADDREY WC,SORRELL MF.Schiff’s diseases of the liver[M].11th ed.UK:John Wiley&Sons Ltd,2012:601. -

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