A case of primary sclerosing cholangitis (PSC) complicated with acute inflammatory demyelinating polyradiculoneuropathy
Autor(es): Kawabata Hideaki,Honda Maki,Kawamura Takuji,Kori Yasuhiro,Uenoyama Yoshito,Kawaguchi Yoshiaki,Tanaka Kiyohito,Hayakumo Takanobu,Cho Eisai,Yasuda Kenjirou,Nakajima Masatsugu
Resumo: The patient is a 22-year-old man. Arthralgia, diarrhea, and abdominal pain in both lower extremities followed by weakness of both upper and lower limbs and jaundice, and I was admitted to our hospital. Muscle weakness predominantly in the extremities of the limbs, decreased tendon reflexes in both upper limbs, decreased motor nerve conduction velocity in the lower limbs, and was diagnosed as acute polynomial nerve inflammation. In addition, a marked elevation of hepatobiliary enzyme and dead branch stenosis of intrahepatic bile duct on ERC were observed, diagnosed as primary sclerosing cholangitis. Furthermore, it was clinically diagnosed as IgA nephropathy from persistent proteinuria and hematuria, serum IgA high value. Although such cases of complications are rare, they appear to be related to each other, and report it as a valuable case in considering the onset mechanism.
Palavras-Chave: Primary sclerosing cholangitis; Acute polyneuropathy; IgA nephropathy
Imprenta: Nihon Shokakibyo Gakkai Zasshi = The Japanese Journal of Gastro-enterology, v. 99, n. 12, p. 1503-1507, 2002
Identificador do objeto digital: 10.11405/nisshoshi1964.99.1503
Descritores: Guillain-Barre Syndrome - Pathogenesis
Data de publicação: 2002