A patient with Takayasu's arteritis treated with corticosteroids who developed primary biliary cirrhosis.
A 40-year-old woman with a history of fever and arthralgia since age 17 had received long-term prednisolone (PSL) therapy. She was diagnosed with Takayasu's arteritis in 1980 and given PSL. The symptoms were well controlled until she developed itching in 1998. Laboratory tests showed elevated levels of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, gamma-glutamyltranspeptidase, total cholesterol, and immunoglobulin M (IgM). She tested positive for anti-mitochondria antibody and for both IgG and IgM anti-pyruvate dehydrogenases. Liver biopsy findings were typical of primary biliary cirrhosis (PBC). Our patient's clinical course suggested that an adequate amount of PSL to control Takayasu's arteritis does not necessarily prevent the development of PBC.
Ito
Satoshi
S
Division of Clinical Nephrology and Rheumatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata.
Ohkoshi
Shogo
S
Aoyagi
Tomoyoshi
T
Suzuki
Kenta
K
Takahashi
Tohru
T
Nomoto
Minoru
M
Nakano
Masaaki
M
Arakawa
Masaaki
M
Asakura
Hitoshi
H
Gejyo
Fumitake
F
D000328:Adult; D000792:Angiography; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008105:Liver Cirrhosis, Biliary / Q000150:complications* / Q000517:prevention & control; D011239:Prednisolone / Q000627:therapeutic use*; D013625:Takayasu Arteritis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone