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Cyclosporine Treatment in a Patient with Concurrent Autoimmune Urticaria and Autoimmune Hepatitis

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초록

Patients with autoimmune urticaria show a higher rate of seropositivity for other autoantibodies and often have a history of autoimmune conditions. They also tend to have more severe symptoms and to have a poor response to conventional antihistamine treatment. Autoimmune hepatitis is a chronic inflammatory disorder in which progressive liver injury is thought to be the result of a T-cell-mediated immunologic attack against liver cells in genetically predisposed individuals. While the association between autoimmune urticaria and other autoimmune disorders such as thyroid disease is well known, there has been no reported case of autoimmune urticaria concomitant with autoimmune hepatitis. We report a case of autoimmune urticaria concurrent with autoimmune hepatitis, which was successfully treated with cyclosporine.

Abstract

Patients with autoimmune urticaria show a higher rate of seropositivity for other autoantibodies and often have a history of autoimmune conditions. They also tend to have more severe symptoms and to have a poor response to conventional antihistamine treatment. Autoimmune hepatitis is a chronic inflammatory disorder in which progressive liver injury is thought to be the result of a T-cell-mediated immunologic attack against liver cells in genetically predisposed individuals. While the association between autoimmune urticaria and other autoimmune disorders such as thyroid disease is well known, there has been no reported case of autoimmune urticaria concomitant with autoimmune hepatitis. We report a case of autoimmune urticaria concurrent with autoimmune hepatitis, which was successfully treated with cyclosporine.

참고문헌 (12)

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  2. Krawitt EL, "Autoimmune hepatitis", N Engl J Med, 354, pp.54~66 (2006)
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  9. Sabroe RA, "Chronic idiopathic urticaria: comparison of the clinical features of patients with and without anti- FcepsilonRI or anti-IgE autoantibodies", J Am Acad Dermatol, 40, pp.443~450 (1999)
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  11. Malekzadeh R, "Cyclosporin A is a promising alternative to corticosteroids in autoimmune hepatitis", Dig Dis Sci, 46, pp.1321~1327 (2001)
  12. 김병수, "만성 특발성 두드러기 환자에서 저용량 Cyclosporine 치료 효과에 관한 연구", 대한피부과학회지, 45(7), pp.680~686 (2007), 대한피부과학회

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