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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1977-1-25
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pubmed:abstractText |
Clinical, biochemical and immunological variables were analyzed in 30 patients with orcein-negative (ON) chronic active hepatitis (CAH), 4 patients with ON primary biliary cirrhosis (PBC), 8 patients with orcein-positive (OP; intracellular copper-binding protein seen histologically in liver biopsy specimens) CAH and 15 patients with OP-PBC. A marked elevation of serum bile acids, alkaline phosphatase, leusine aminopeptidase, gammaglutamyl transpeptidase and cholesterol concentrations, and highly pathological BSP Tm values were characteristic for OP-cases. In addition the faecal fat level was increased and bile acids decreased in OP-cases. Serum levels of IgG or IgM and the occurrence of smooth muscle, mitochondrial or glomerular antibodies were identical in ON- and OP-CAH as well as also in ON- and OP-PBC. 49 patients were treated with a combination of prednisone and azathioprine from 4 to 72 months (mean 22). 26 patients with ON-CAH responded biochemically and morphologically to the treatment. No treatment failures were found in ON-CAH. In contrast treatment failure was confirmed in every treated OP-PBC or OP-CAH. The results suggest that orcein-positivity indicates a poor response to prednisone-azathioprine treatment of CAH.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0003-4762
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
206-15
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:63265-Adult,
pubmed-meshheading:63265-Aged,
pubmed-meshheading:63265-Chronic Disease,
pubmed-meshheading:63265-Diagnosis, Differential,
pubmed-meshheading:63265-Female,
pubmed-meshheading:63265-Hepatitis,
pubmed-meshheading:63265-Humans,
pubmed-meshheading:63265-Immunoglobulins,
pubmed-meshheading:63265-Liver,
pubmed-meshheading:63265-Liver Cirrhosis, Biliary,
pubmed-meshheading:63265-Male,
pubmed-meshheading:63265-Middle Aged,
pubmed-meshheading:63265-Staining and Labeling
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pubmed:year |
1976
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pubmed:articleTitle |
Clinical correlations and significance of orceinpositivity in chronic active hepatitis and primary biliary cirrhosis.
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pubmed:publicationType |
Journal Article,
Comparative Study
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