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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
|
pubmed:dateCreated |
1990-8-14
|
pubmed:abstractText |
In this report we describe the case of a 7-year-old boy, suffering from autoimmune-type chronic active hepatitis (AI-CAH) associated with vitiligo, nail dystrophy, alopecia areata and a variant of liver kidney microsomal (LKM) autoantibodies. This patient's antibodies are different from LKM-1 which are directed against cytochrome P450 db1. They react predominantly with perivenous hepatocytes in contrast to LKM-1 antibodies which homogeneously stain the whole liver lobule in immunofluorescence. In Western blot analysis this LKM variant reacts with a liver microsomal protein of approx. 50 kDa, but not with recombinant LKM-1 (cytochrome P450 db1) antigen. Immunosuppressive treatment led to a normalization of liver histology after 1 year and a significant improvement of vitiligo and alopecia areata. In summary, a case of autoimmune-type chronic active hepatitis is presented which is associated with a new variant of LKM antibodies reacting with a 50 kDa microsomal protein different from cytochrome P450 db1. Furthermore, this patient suffers from extrahepatic syndromes (alopecia, nail dystrophy) that have not been described previously in LKM antibody-positive chronic active hepatitis.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
|
pubmed:issn |
0168-8278
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
10
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
364-9
|
pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:2195110-Alopecia,
pubmed-meshheading:2195110-Autoantibodies,
pubmed-meshheading:2195110-Autoimmune Diseases,
pubmed-meshheading:2195110-Blotting, Western,
pubmed-meshheading:2195110-Child,
pubmed-meshheading:2195110-Fluorescent Antibody Technique,
pubmed-meshheading:2195110-Genetic Variation,
pubmed-meshheading:2195110-Hepatitis, Chronic,
pubmed-meshheading:2195110-Humans,
pubmed-meshheading:2195110-Male,
pubmed-meshheading:2195110-Nail Diseases,
pubmed-meshheading:2195110-Vitiligo
|
pubmed:year |
1990
|
pubmed:articleTitle |
Chronic active hepatitis associated with vitiligo, nail dystrophy, alopecia and a new variant of LKM antibodies.
|
pubmed:affiliation |
G. v. Peyer'sches Kinderspital der Stadt Wien, Federal Republic of Germany.
|
pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
|