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罕见病例报告:一名合并1型糖尿病男性患者的原发性胆汁性胆管炎诊断

A Rare Case Presentation: Diagnosing Primary Biliary Cholangitis in a Male Patient With Concomitant Type 1 Diabetes.

作者信息

Johnson Adejoke M, Akpan Ezekiel J, Kale Supriya, Patel Anna

机构信息

Medicine, All Saints University School of Medicine, Roseau, DMA.

Medicine, All Saints University College of Medicine, Kingstown, VCT.

出版信息

Cureus. 2021 Jul 2;13(7):e16109. doi: 10.7759/cureus.16109. eCollection 2021 Jul.

Abstract

Primary biliary cholangitis (PBC) is characterized as an autoimmune disease that involves the destruction of intrahepatic bile ducts, characteristically leading to a cholestatic liver. The presence of disease-specific antimitochondrial antibodies (AMA) is the gold standard to diagnose PBC. Typically, PBC is known to affect female populations exceedingly over their male counterparts. Associated autoimmune diseases include Sjogren's and Raynaud's syndrome, which are also more prevalent in women. The low incidence rates of men affected with PBC, especially with a concomitant type 1 diabetes diagnosis, have resulted in little being known about the clinical course of the disease in this particular population group. Current research suggests no significant histological, serological, or biochemical differences between PBC in males and females. However, some symptoms and clinical associations may be different. This case report presents the rare case of a male patient with type 1 diabetes recently diagnosed with PBC.

摘要

原发性胆汁性胆管炎(PBC)的特征是一种自身免疫性疾病,涉及肝内胆管的破坏,典型地导致胆汁淤积性肝病。疾病特异性抗线粒体抗体(AMA)的存在是诊断PBC的金标准。通常,已知PBC在女性人群中的影响远远超过男性。相关的自身免疫性疾病包括干燥综合征和雷诺综合征,这些疾病在女性中也更普遍。男性患PBC的发病率较低,尤其是同时诊断为1型糖尿病的男性,导致对这一特定人群中该疾病的临床病程了解甚少。目前的研究表明,男性和女性的PBC在组织学、血清学或生化方面没有显著差异。然而,一些症状和临床关联可能有所不同。本病例报告介绍了一名最近被诊断为PBC的1型糖尿病男性患者的罕见病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16f0/8330503/8a5f3fad8503/cureus-0013-00000016109-i01.jpg

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本文引用的文献

1
Human Endogenous Retroviruses and Type 1 Diabetes.
Curr Diab Rep. 2019 Nov 21;19(12):141. doi: 10.1007/s11892-019-1256-9.
3
Diagnosis and Management of Primary Biliary Cholangitis.
Am J Gastroenterol. 2019 Jan;114(1):48-63. doi: 10.1038/s41395-018-0390-3.
4
Primary Biliary Cholangitis: 2018 Practice Guidance from the American Association for the Study of Liver Diseases.
Hepatology. 2019 Jan;69(1):394-419. doi: 10.1002/hep.30145. Epub 2018 Nov 6.
5
Increasing Prevalence of Primary Biliary Cholangitis and Reduced Mortality With Treatment.
Clin Gastroenterol Hepatol. 2018 Aug;16(8):1342-1350.e1. doi: 10.1016/j.cgh.2017.12.033. Epub 2017 Dec 23.
7
Liver Transplantation for Cholestatic Liver Diseases in Adults.
Clin Liver Dis. 2016 Feb;20(1):191-203. doi: 10.1016/j.cld.2015.08.011. Epub 2015 Oct 23.
8
Changing Nomenclature for PBC: From 'Cirrhosis' to 'Cholangitis'.
Am J Gastroenterol. 2015 Nov;110(11):1536-8. doi: 10.1038/ajg.2015.312. Epub 2015 Sep 29.
9
Sex differences associated with primary biliary cirrhosis.
Clin Dev Immunol. 2012;2012:610504. doi: 10.1155/2012/610504. Epub 2012 May 30.

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