Graduate School of Medical Science

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Slowly progressive insulin-dependent diabetes in a patient with primary biliary cirrhosis with portal hypertension-type progression

Yumie Takeshita; Toshinari Takamura; Oto Inoue; Miki Okumura; Kenichiro Kato; Hajime Sunagozaka; Kuniaki Arai; Hirofumi Misu; Minoru Nakamura; Yasuni Nakanuma; et al. (Profiled Authors: YASUNI NAKANUMA; SHUICHI KANEKO; TOSHINARI TAKAMURA; HIROFUMI MISU; Yumie TAKESHITA; Kuniaki ARAI,; HAJIME SUNAGOZAKA)

Internal Medicine. 2012;51(1):79-82.

A 73-year-old woman had previously been diagnosed with CREST syndrome, PBC and diabetes. Hepatic fibrosis was not evident, in spite of the transudative ascites and active esophageal varices. ACA were positive, whereas AMA and anti-gp210 antibodies were negative. She showed low urinary excretion of C-peptide and was weakly positive for anti-GAD antibody. She was diagnosed with a form of PBC that progresses via portal hypertension rather than liver failure and with SPIDDM. Her HLA type did not contain risk allele for IDDM or PBC. SPIDDM should be considered when patients with PBC with portal hypertension-type progression develop diabetes. © 2012 The Japanese Society of Internal Medicine.

PMID: 22214628    

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