Síndrome crioglobulinémico secundario a hepatitis autoinmune

Callejas, José Luis; García-Núñez, Emilio; Fernández-Machín, Pilar; Fernández-Moyano, Antonio

doi:10.1016/s0025-7753(02)73497-0

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2022

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“…In one of them, a 73-year-old man had palpable purpura in the lower limbs and an increase in aminotransferases, very similar to this case reported. 14 Biecker et al reported another case in which celiac disease, a recognized trigger for autoimmune disorders, was associated with AIH and CV. 15 Evans et al also reported a case of AIH with cryoglobulinemia, where vasculitis led to renal involvement with glomerulonephritis and anuric acute kidney injury.…”

Section: Discussionmentioning

confidence: 99%

Autoimmune Hepatitis Associated With Cryoglobulinemic Vasculitis

Gouveia¹,

Leal²,

Rampche³

2022

ACG Case Rep J

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Cryoglobulinemic vasculitis presents liver abnormalities usually associated with hepatitis C. We report a case of a 27-year-old woman with cryoglobulinemia and liver dysfunction secondary to autoimmune hepatitis. The patient developed purpura on the lower extremities and elevated aminotransferases. The investigation of hepatitis C was negative. Autoimmune hepatitis was confirmed by positive ANA, hypergammaglobulinemia, and compatible histological changes. Treatment with prednisone and azathioprine regressed cutaneous vasculitis and decreased aminotransferases. This case describes a rare association of cryoglobulinemic vasculitis and autoimmune hepatitis.

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Section: Discussionmentioning

confidence: 99%