A Rare Case Presentation: Diagnosing Primary Biliary Cholangitis in a Male Patient With Concomitant Type 1 Diabetes.

antimitochondrial antibody autoimmune disease cholestyramine liver cirrhosis male primary biliary cholangitis primary biliary cholangitis pruritis type 1 diabetes ursodiol

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2021
Historique:
accepted: 02 07 2021
entrez: 9 8 2021
pubmed: 10 8 2021
medline: 10 8 2021
Statut: epublish

Résumé

Primary biliary cholangitis (PBC) is characterized as an autoimmune disease that involves the destruction of intrahepatic bile ducts, characteristically leading to a cholestatic liver. The presence of disease-specific antimitochondrial antibodies (AMA) is the gold standard to diagnose PBC. Typically, PBC is known to affect female populations exceedingly over their male counterparts. Associated autoimmune diseases include Sjogren's and Raynaud's syndrome, which are also more prevalent in women. The low incidence rates of men affected with PBC, especially with a concomitant type 1 diabetes diagnosis, have resulted in little being known about the clinical course of the disease in this particular population group. Current research suggests no significant histological, serological, or biochemical differences between PBC in males and females. However, some symptoms and clinical associations may be different. This case report presents the rare case of a male patient with type 1 diabetes recently diagnosed with PBC.

Identifiants

pubmed: 34367753
doi: 10.7759/cureus.16109
pmc: PMC8330503
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e16109

Informations de copyright

Copyright © 2021, Johnson et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Med Sci Monit. 2019 Aug 17;25:6174-6180
pubmed: 31420961
Hepatology. 2019 Jan;69(1):394-419
pubmed: 30070375
J Clin Invest. 2001 Jul;108(2):223-32
pubmed: 11457875
Hepatology. 2003 Jan;37(1):225-8
pubmed: 12500211
Gastroenterology. 2003 Jun;124(7):1915-25
pubmed: 12806624
Clin Liver Dis. 2016 Feb;20(1):191-203
pubmed: 26593299
Clin Dev Immunol. 2012;2012:610504
pubmed: 22693524
Baillieres Best Pract Res Clin Gastroenterol. 2000 Aug;14(4):549-70
pubmed: 10976014
Hepat Med. 2016 Sep 01;8:89-95
pubmed: 27621676
N Engl J Med. 1994 May 12;330(19):1342-7
pubmed: 8152446
Am J Gastroenterol. 1999 Sep;94(9):2482-6
pubmed: 10484012
Am J Gastroenterol. 2019 Jan;114(1):48-63
pubmed: 30429590
Dis Markers. 2010;29(6):337-44
pubmed: 21297253
Clin Gastroenterol Hepatol. 2018 Aug;16(8):1342-1350.e1
pubmed: 29277621
Hepatology. 2005 Nov;42(5):1194-202
pubmed: 16250040
Am J Gastroenterol. 2015 Nov;110(11):1536-8
pubmed: 26416194
Curr Diab Rep. 2019 Nov 21;19(12):141
pubmed: 31754894
Orphanet J Rare Dis. 2008 Jan 23;3:1
pubmed: 18215315
Lancet. 1987 Apr 11;1(8537):834-6
pubmed: 2882236
J Immunol. 1984 Feb;132(2):656-61
pubmed: 6228595

Auteurs

Adejoke M Johnson (AM)

Medicine, All Saints University School of Medicine, Roseau, DMA.

Ezekiel J Akpan (EJ)

Medicine, All Saints University College of Medicine, Kingstown, VCT.

Supriya Kale (S)

School of Medicine, Windsor University, Canyon, KNA.

Anna Patel (A)

Gastroenterology and Hepatology, Community First Medical Center, Chicago, USA.

Classifications MeSH