Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome

A 45-year-old female was diagnosed with Hashimoto’s thyroiditis in 1976 and Addison’s disease in 1979. At that time, her antimitochondrial antibody (AMA) level was elevated at 1:32. She subsequently developed premature ovarian failure and type I diabetes mellitus. In 1996, she became jaundiced with...

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Main Authors: Mark Ram Borgaonkar, David Geoffrey Morgan
Format: Article
Language:English
Published: Wiley 1999-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1999/810264
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author Mark Ram Borgaonkar
David Geoffrey Morgan
author_facet Mark Ram Borgaonkar
David Geoffrey Morgan
author_sort Mark Ram Borgaonkar
collection DOAJ
description A 45-year-old female was diagnosed with Hashimoto’s thyroiditis in 1976 and Addison’s disease in 1979. At that time, her antimitochondrial antibody (AMA) level was elevated at 1:32. She subsequently developed premature ovarian failure and type I diabetes mellitus. In 1996, she became jaundiced with a cholestatic enzyme pattern. AMA was positive at a titre of 1:256. A liver biopsy confirmed the diagnosis of primary biliary cirrhosis (PBC). She underwent a liver transplantation in January 1998. This is the first report of PBC in association with type II autoimmune polyglandular syndrome. The association of PBC with other organ-specific autoimmune diseases supports an immune-mediated pathogenesis and may have implications in further studies of PBC.
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series Canadian Journal of Gastroenterology
spelling doaj-art-239bd4b77dd844ea8d3403c6760367512025-02-03T01:03:15ZengWileyCanadian Journal of Gastroenterology0835-79001999-01-0113976777010.1155/1999/810264Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular SyndromeMark Ram Borgaonkar0David Geoffrey Morgan1Department of Medicine, Division of Gastroenterology, McMaster University, Hamilton, Ontario, CanadaDepartment of Medicine, Division of Gastroenterology, McMaster University, Hamilton, Ontario, CanadaA 45-year-old female was diagnosed with Hashimoto’s thyroiditis in 1976 and Addison’s disease in 1979. At that time, her antimitochondrial antibody (AMA) level was elevated at 1:32. She subsequently developed premature ovarian failure and type I diabetes mellitus. In 1996, she became jaundiced with a cholestatic enzyme pattern. AMA was positive at a titre of 1:256. A liver biopsy confirmed the diagnosis of primary biliary cirrhosis (PBC). She underwent a liver transplantation in January 1998. This is the first report of PBC in association with type II autoimmune polyglandular syndrome. The association of PBC with other organ-specific autoimmune diseases supports an immune-mediated pathogenesis and may have implications in further studies of PBC.http://dx.doi.org/10.1155/1999/810264
spellingShingle Mark Ram Borgaonkar
David Geoffrey Morgan
Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
Canadian Journal of Gastroenterology
title Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
title_full Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
title_fullStr Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
title_full_unstemmed Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
title_short Primary Biliary Cirrhosis and Type II Autoimmune Polyglandular Syndrome
title_sort primary biliary cirrhosis and type ii autoimmune polyglandular syndrome
url http://dx.doi.org/10.1155/1999/810264
work_keys_str_mv AT markramborgaonkar primarybiliarycirrhosisandtypeiiautoimmunepolyglandularsyndrome
AT davidgeoffreymorgan primarybiliarycirrhosisandtypeiiautoimmunepolyglandularsyndrome