Summary
A 56-year-old female with mixed connective tissue disease (MCTD) who developed autoimmune hepatitis is described. Hepatitis was controlled effectively by the corticosteroid therapy. Biopsy of the liver revealed swelling and hydropic degeneration of hepatocytes, accompanied by Councilman's body formation and focal necrosis. These histological findings differ from those in three previously described cases. A relationship between MCTD and liver involvement appears possible.
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Sharp GC, Irvin WS, May CM, Holman HR, McDuffie IC, Hess EV, Schmid FR: Mixed connective tissue disease. An apparently distinct rheumatic disease syndrome associated with a specific antibody to an extractable nuclear antigen (ENA). Am J Med 52:148–159, 1972
Marshall JB, Ravendran N, Sharp GC: Liver disease in mixed connective tissue disease. Arch Intern Med 143:1817–1818, 1983
Rolny P, Goobar J, Zettergren L: HBsAg-negative chronic active hepatitis and mixed connective tissue disease, an unusual association observed in two patients. Acta Med Scand 215:391–395, 1984
Singsen BH, Swanson VL, Bernstein BH, Heuser ET, Hanson LV, Landing BH: A histologic evaluation of mixed connective tissue disease in childhood. Am J Med 68:710–717, 1980
Reynolds TB, Edmondson HA, Peters RL, R Redeker A: Lupoid hepatitis. Ann Intern Med 61:650–660, 1964
Lefkowitch JH, Apfelbaum TF, Weinberg L, Forester G: Acute liver biopsy lesions in early autoimmune (“lupoid”) chronic active hepatitis. Liver 4:379–386, 1984
Runyon BA, Labrecque DR, Anuras S: The spectrum of liver disease in systemic lupus erythematosus. Report of 33 histologically-proved cases and review of the literature. Am J Med 69:187–194, 1980
Gibson T, Myers AR: Subclinical liver disease in systemic lupus erythematosus. J Rheumatol 8:752–759, 1981
Hall S, Axelsen PH, Larson DE, Bunch TW: Systemic lupus cirrhosis. Ann Intern Med 100:388–389, 1984
Teffanelli DL, Winkellmann RK, Minn R: Systemic scleroderma. A clinical study of 727 cases. Arch Dermatol 84:359–371, 1961
Roccop VK, Hurd ER: Scleroderma and scleroderma-like disorders. Semin Arthritis Rheum 16:22–69, 1986
Epstein O, Burroughs AK, Sherlock S: Polymyositis and acute onset of systemic sclerosis in a patient with primary biliary cirrhosis: A clinical syndrome similar to mixed connective tissue disease. J R Soc Med 74:456–459, 1981
Bradley JD, Pinals RS, Gupta RC: Chronic active hepatitis associated with polymyositis. J Rheumatol 12:368–371, 1985
Tsuchiya K, Kakita E, Wada Y, Furukawa T, Tsukagoshi H: Two cases of polymyositis associated with liver dysfunction. Clin Neurol 25:667–673, 1985
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Maeda, M., Kanayama, M., Hasumura, Y. et al. Case of mixed connective tissue disease associated with autoimmune hepatitis. Digest Dis Sci 33, 1487–1490 (1988). https://doi.org/10.1007/BF01537007
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DOI: https://doi.org/10.1007/BF01537007