Primary biliary cirrhosis associated with rheumatic arthritis and Sjögren's syndrome.
DOI:
https://doi.org/10.20344/amp.4333Abstract
Uma doente de 44 anos de idade, com artrite reumatoide com quatro anos de evolução e queixas recentes de queratoconjuntivite seca, desenvolveu um quadro de icterícia colestática e é internada três meses depois. Foi feito o diagnóstico de C.B.P., baseado em dados de ordem clínica e bioquímica, na presença do anticorpo antimitocondrial e nos aspectos da biópsia hepática. Discutem-se os elementos mais importantes do diagnóstico desta doença e o seu diagnóstico diferencial com outras situações de colestase. A associação de C. B. P. com artrite reumatoide e síndrome de Sjögren e analisada e são focados aspectos da sua etiopatogenia. A cirrose biliar primaria (C.B.P.) — colangite destrutiva crónica não supurativa
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