Inflammatorische Erkrankungen mit Leber- und Gelenkbeteiligung
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- 作者：Dr. M. Sebode (1)
C. Schramm (1)
A.W. Lohse (1) - 关键词：Rheumatoide Arthritis ; Inflammation ; Autoimmune Hepatitis ; Arthropathie ; H盲mochromatose ; Rheumatoid arthritis ; Inflammation ; Autoimmune hepatitis ; Arthropathy ; Hemochromatosis
- 刊名：Der Internist
- 出版年：2013
- 出版时间：April 2013
- 年：2013
- 卷：54
- 期：4
- 页码：441-448
- 全文大小：612 KB
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C. Schramm (1)
A.W. Lohse (1)
1. I. Medizinische Klinik und Poliklinik, Universit盲tsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland - ISSN：1432-1289
文摘
Elevated levels of liver enzymes in patients with rheumatic symptoms require a comprehensive differential diagnostic thought process. On the one hand there can be hepatic involvement of primarily rheumatological diseases but this is quite rare. Drug-induced liver injury by antirheumatic medication is more frequent. On the other hand arthralgia can be a sign of primary hepatopathy whereby hemochromatosis and autoimmune hepatitis (AIH) are typical examples. Furthermore, some liver diseases are associated with rheumatological diseases, such as primary biliary cirrhosis (PBC) and chronic hepatitis C infection (HCV). Only an exact diagnosis will lead to specific treatment which will improve the symptoms and course of disease.