PMID: 9430021Jan 16, 1998Paper

Mixed connective tissue disease associated with idiopathic portal hypertension and chronic thyroiditis

Journal of Gastroenterology
S HirasakiT Tsuji

Abstract

We report a patient with mixed connective tissue disease (MCTD) associated with idiopathic portal hypertension (IPH) and chronic thyroiditis. The patient was a 68-year-old Japanese woman who was admitted to our hospital for treatment of bleeding esophageal varices. She had previously exhibited Raynaud's phenomenon and had had arthritis for about 30 years. She also had had high titers anti-U1 of ribonucleoprotein (RNP) anti-single strand-DNA autoantibodies for 2 years, and had been diagnosed with MCTD 1 year previously. The bleeding from esophageal varices was successfully stopped by endoscopic injection sclerotherapy. Results of laboratory examinations, imaging examinations, and laparoscopy, including liver biopsy, indicated that the esophageal varices were caused by portal hypertension due to IPH. The patient also had a diffusely firm and enlarged goiter and hypothyroidism, and she exhibited anti-thyroid microsomal antibodies and anti-thyroglobulin antibodies, she was diagnosed as having a complication of chronic thyroiditis. This association of MCTD, IPH, and chronic thyroiditis is quite rare and provides a unique opportunity to observe immunological involvement in the pathogenesis of IPH.

References

Jan 31, 1975·Annals of the New York Academy of Sciences·H Popper, L B Thomas
Aug 1, 1971·The American Journal of Medicine·S K SamaK L Wig

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Citations

May 7, 2005·Clinical Rheumatology·Hiroyuki KogawaHiromi Ishibashi
Oct 26, 2005·Clinical Rheumatology·Edit BiróGyula Bakó
Sep 17, 2009·Clinical Rheumatology·Yi-Ying TsaiBor-Luen Chiang
Apr 23, 2002·Journal of Gastroenterology and Hepatology·Koichi TsuneyamaYasuni Nakanuma
Oct 3, 2006·Journal of the American Academy of Dermatology·Mohsin Malik, A Razzaque Ahmed
Jul 17, 2016·Best Practice & Research. Clinical Rheumatology·Ragnar GunnarssonØyvind Molberg
Apr 7, 2007·The American Journal of Surgical Pathology·M Isabel FielThomas D Schiano

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