title: Liver dysfunction and polymyalgia rheumatica. A case report.
abstract: Hepatic dysfunction may be a manifestation of polymyalgia rheumatica. We present a second patient with the polymyalgia rheumatica syndrome and a significantly elevated alkaline phosphtase who, on liver biopsy, demonstrated granuloma formation and massive infiltration of the portal spaces with lymphocytes. The alkaline phosphatase elevation was favorably influenced by low dose steroid therapy.
mesh_terms: D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D005260:Female; D006099:Granuloma / Q000201:enzymology / Q000473:pathology; D006801:Humans; D008099:Liver / Q000473:pathology; D008107:Liver Diseases / Q000201:enzymology / Q000209:etiology* / Q000473:pathology; D011111:Polymyalgia Rheumatica / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use
chemical_list: D000469:Alkaline Phosphatase; D011241:Prednisone