Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19

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We present the case of a 53-year-old woman with a history of rheumatoid arthritis who, after recovering from a severe COVID-19, developed gastrointestinal bleeding as a manifestation of portal hypertension and progressive liver failure. Based on serology and ultrasound, an overlap syndrome of autoim...

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Detalles Bibliográficos
Autores: Zumaeta Rodríguez, Thalía Isabel, Carrasco Lozano, Luis Enrique, Zamudio Romero, Silvia Patricia, Maya Pérez, Luis Alberto
Formato: artículo
Fecha de Publicación:2021
Institución:Sociedad Peruana de Medicina Interna
Repositorio:Revista de la Sociedad Peruana de Medicina Interna
Lenguaje:español
OAI Identifier:oai:medicinainterna.net.pe:article/636
Enlace del recurso:https://revistamedicinainterna.net/index.php/spmi/article/view/636
Nivel de acceso:acceso abierto
Materia:COVID-19
SARS-CoV-2
hepatitis autoinmune
colangitis biliar primaria
trombosis venosa
vena porta
autoimmune hepatitis
primary biliary cholangitis
venous thrombosis
portal vein
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spelling Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19Síndrome de superposición de hepatitis autoinmune y colangitis biliar primaria asociada a trombosis de vena porta post COVID-19Zumaeta Rodríguez, Thalía Isabel Carrasco Lozano, Luis Enrique Zamudio Romero, Silvia Patricia Maya Pérez, Luis Alberto COVID-19SARS-CoV-2hepatitis autoinmunecolangitis biliar primariatrombosis venosavena portaCOVID-19SARS-CoV-2autoimmune hepatitisprimary biliary cholangitisvenous thrombosisportal veinWe present the case of a 53-year-old woman with a history of rheumatoid arthritis who, after recovering from a severe COVID-19, developed gastrointestinal bleeding as a manifestation of portal hypertension and progressive liver failure. Based on serology and ultrasound, an overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis were diagnosed. The response to steroids and anticoagulation was favorable. Hepatic involvement, induced by the virus, has been described in COVID-19. However, autoimmune diseases and thromboembolic phenomena can develop, having the liver as a target organ.Presentamos el caso de una mujer de 53 años con antecedentes de artritis reumatoide que, tras recuperarse de un cuadro de COVID-19grave, desarrolló hemorragia digestiva como manifestación de hipertensión portal e insuficiencia hepática progresiva. Basados en la serología y ecografía, se diagnosticó un síndrome overlap de hepatitis autoinmune y colangitis biliar primaria asociado a trombosis de vena porta. La respuesta a la corticoterapia y anticoagulación fue favorable. El compromiso hepático, inducido por el virus, está descrito en la COVID-19. Sin embargo, pueden desarrollarse enfermedades autoinmunes y fenómenos tromboembólicos, teniendo el hígado como órgano diana.Sociedad Peruana de Medicina Interna2021-12-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistamedicinainterna.net/index.php/spmi/article/view/63610.36393/spmi.v34i4.636Revista de la Sociedad Peruana de Medicina Interna; Vol. 34 Núm. 4 (2021); 186-189Revista de la Sociedad Peruana de Medicina Interna; Vol. 34 No. 4 (2021); 186-1891609-71731681-972110.36393/spmi.v34i4reponame:Revista de la Sociedad Peruana de Medicina Internainstname:Sociedad Peruana de Medicina Internainstacron:SPMIspahttps://revistamedicinainterna.net/index.php/spmi/article/view/636/703Derechos de autor 2021 Thalía Isabel Zumaeta Rodríguez, Luis Enrique Carrasco Lozano, Silvia Patricia Zamudio Romero, Luis Alberto Maya Pérezinfo:eu-repo/semantics/openAccessoai:medicinainterna.net.pe:article/6362022-03-07T07:50:50Z
dc.title.none.fl_str_mv Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
Síndrome de superposición de hepatitis autoinmune y colangitis biliar primaria asociada a trombosis de vena porta post COVID-19
title Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
spellingShingle Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
Zumaeta Rodríguez, Thalía Isabel
COVID-19
SARS-CoV-2
hepatitis autoinmune
colangitis biliar primaria
trombosis venosa
vena porta
COVID-19
SARS-CoV-2
autoimmune hepatitis
primary biliary cholangitis
venous thrombosis
portal vein
title_short Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
title_full Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
title_fullStr Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
title_full_unstemmed Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
title_sort Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
dc.creator.none.fl_str_mv Zumaeta Rodríguez, Thalía Isabel
Carrasco Lozano, Luis Enrique
Zamudio Romero, Silvia Patricia
Maya Pérez, Luis Alberto
author Zumaeta Rodríguez, Thalía Isabel
author_facet Zumaeta Rodríguez, Thalía Isabel
Carrasco Lozano, Luis Enrique
Zamudio Romero, Silvia Patricia
Maya Pérez, Luis Alberto
author_role author
author2 Carrasco Lozano, Luis Enrique
Zamudio Romero, Silvia Patricia
Maya Pérez, Luis Alberto
author2_role author
author
author
dc.subject.none.fl_str_mv COVID-19
SARS-CoV-2
hepatitis autoinmune
colangitis biliar primaria
trombosis venosa
vena porta
COVID-19
SARS-CoV-2
autoimmune hepatitis
primary biliary cholangitis
venous thrombosis
portal vein
topic COVID-19
SARS-CoV-2
hepatitis autoinmune
colangitis biliar primaria
trombosis venosa
vena porta
COVID-19
SARS-CoV-2
autoimmune hepatitis
primary biliary cholangitis
venous thrombosis
portal vein
description We present the case of a 53-year-old woman with a history of rheumatoid arthritis who, after recovering from a severe COVID-19, developed gastrointestinal bleeding as a manifestation of portal hypertension and progressive liver failure. Based on serology and ultrasound, an overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis were diagnosed. The response to steroids and anticoagulation was favorable. Hepatic involvement, induced by the virus, has been described in COVID-19. However, autoimmune diseases and thromboembolic phenomena can develop, having the liver as a target organ.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-10
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://revistamedicinainterna.net/index.php/spmi/article/view/636
10.36393/spmi.v34i4.636
url https://revistamedicinainterna.net/index.php/spmi/article/view/636
identifier_str_mv 10.36393/spmi.v34i4.636
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://revistamedicinainterna.net/index.php/spmi/article/view/636/703
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Peruana de Medicina Interna
publisher.none.fl_str_mv Sociedad Peruana de Medicina Interna
dc.source.none.fl_str_mv Revista de la Sociedad Peruana de Medicina Interna; Vol. 34 Núm. 4 (2021); 186-189
Revista de la Sociedad Peruana de Medicina Interna; Vol. 34 No. 4 (2021); 186-189
1609-7173
1681-9721
10.36393/spmi.v34i4
reponame:Revista de la Sociedad Peruana de Medicina Interna
instname:Sociedad Peruana de Medicina Interna
instacron:SPMI
instname_str Sociedad Peruana de Medicina Interna
instacron_str SPMI
institution SPMI
reponame_str Revista de la Sociedad Peruana de Medicina Interna
collection Revista de la Sociedad Peruana de Medicina Interna
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1846973725709172736
score 12.646191
Overlap syndrome of autoimmune hepatitis and primary biliary cholangitis associated with portal vein thrombosis post COVID-19
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