PRIMARY BILIARY-CIRRHOSIS

被引:14
作者
LAURIN, JM
LINDOR, KD
机构
[1] Division of Gastroenterology, Mayo Clinic and Foundation, Rochester, MN
关键词
PRIMARY BILIARY CIRRHOSIS; PYRUVATE DEHYDROGENASE COMPLEX; AUTOIMMUNE DISORDERS; URSODEOXYCHOLIC;
D O I
10.1159/000171469
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Primary biliary cirrhosis is a chronic, usually progressive, cholestatic liver disease of presumed autoimmune etiology that affects predominantly young and middle-aged women. It is nearly always associated with an antibody directed against a component of the pyruvate dehydrogenase complex located on the inner wall of the mitochondria. The disease is associated with a number of other associated autoimmune disorders. No totally effective medic;ll treatment has been established for the disease, although ursodeoxycholic acid appears promising. Complications of cholestasis such as fat malabsorption and fat-soluble vitamin deficiency should be excluded or corrected when found. Individual patient prognosis varies. Several models for estimating individual patient survival are available. Liver transplantation is recognized as a procedure to extend and improve the quality of life for patients with advanced disease.
引用
收藏
页码:331 / 350
页数:20
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