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Primary biliary cirrhosis and autoimmune hepatitis, primary biliary cirrhosis on liver and autoimmune hepatitis and cirrhosis of the number of questions
The risk of disease: primary biliary cirrhosis and autoimmune hepatitis, cirrhosis of the liver
Q: disease description (time of onset, the main symptom, visiting hospitals, etc.): onset time: March 2009 The main symptoms: itching, his face black, palpation of the liver and spleen enlargement is still smooth surface without pressure .
Department of Infectious Diseases, Changhai Hospital, Shanghai LI Cheng-zhong replies:
Swelling can occur in patients with liver cirrhosis, and more with low protein. In most cases, diuretics can be mitigated. Circumstances invited hospital. Details autoimmune hepatitis and primary biliary cirrhosis overlap syndrome complicated with hypersplenism
Illnesses: Cirrhosis
Q: Hello Doctor! My mother in October the hospital in West China Hospital of Sichuan's condition described in the certificate is as follows: patients Wangqiu Lan, female, 57 years old in July, due to "fatigue .
Department of Gastroenterology, Zhongshan Hospital, Shanghai, Zhao-Hui Zhou replies:
Wang Qiulan family: Hello: According to the history you provide can be considered autoimmune liver disease, currently no evidence of liver tumors. Preferred ursodeoxycholic acid capsules (excellent thinking fluoride) 3 times a day, every . more primary biliary cirrhosis autoimmune hepatitis overlapYou may be inter


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Description disease (onset time, major symptoms, visiting hospitals, etc.): The patient, 61 years old, female, previously in good health.
Recent physical discomfort, the XX hospital for examination, the results are as follows:
- B super: Slow induced liver ultrasonography,; splenomegaly, spleen ribs length 73mm (feel swollen for a long time); mild inflammatory-like changes in the gallbladder
- Four tumors: A child CEA 5.52 3.28
Sugar Sugar 125 to 199 6.30 11.40
- Antibody: anti-mitochondrial antibody (AMA-M2) positive anti-ribonucleoprotein antibodies (GP-) positive for the remaining negative
- Low blood leukocytes 3,5; 85 low platelet
- Two pairs of semi-surface antibody-positive (hepatitis B vaccination has recently hit)
17.7 - blood total bilirubin / direct bilirubin 7.4 MG 47.2
Alkaline phosphatase 262 -glutamyl Se enzymes 212
Triglycerides 2.441, taking ursodeoxycholic acid capsules (UDCA) a day
2, splenectomy want kind of help: 1, is certain to be the implementation of splenectomy, the patient's splenectomy dimethyl hospitals in general surgery?
2, ursodeoxycholic acid capsules (UDCA) is taking it can be taken before and after surgery (and not necessarily associated with splenectomy)
3, primary biliary cirrhosis in addition to a class of foreign else? (I have used in the hospital all the time of diagnosis report uploaded)


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