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摘要


我們在此報告一病例,患者爲一45歲中年女性,因長期皮癢及慢性黃疸來院求診。生化檢查有顯著上昇的alk-p-tase,cholesterol及IgM。可是她的抗粒線體抗體(AMA)爲陰性,抗核抗體(ANA)卻呈陽性。經由內視鏡逆行性膽道攝影檢查及肝生檢印證後確定診斷爲自體免疫性膽管炎,原發性膽性肝硬化(PBC)的異型。

並列摘要


We report a case of a 45-year-old female patient suffering from pruritus and prolonged yellowish skin discoloration. Laboratory studies disclosed a significant elevation of alk-p-tase, cholesterol and 1gM levels. Antimitochondrial antibody (AMA) was negative and antinuclear antibody (ANA) was positive. The endoscopic retrograde cholangiopancreatography (ERCP) was normal. Percutaneus needle liver biopsy was performed and the histopathological features confirm the diagnosis of autoimmune cholangitis, a variant of primary biliary cirrhosis (PBC).

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