Abstract
Four asymptomatic patients are described with raised serum alkaline phosphatase values and a positive serum mitochondrial antibody test. In all four needle liver biopsy showed destructive bile duct lesions. Lymphocyte transformation to phytohaemagglutinin was normal in three and impaired in one who also suffered from rheumatoid arthritis. Two patients showed normal skin and serological test responses to dinitrochlorobenzene and haemocyanin. These four patients are believed to be suffering from asymptomatic primary biliary cirrhosis.
MeSH Terms
Adult
Alkaline Phosphatase/blood
Antibodies
Arthritis, Rheumatoid/complications,immunology
Bile Ducts/pathology
Biopsy
Female
Hemocyanins
Humans
Lectins
Liver/pathology
Liver Cirrhosis, Biliary/blood,complications,enzymology,immunology
Lymphocyte Activation
Middle Aged
Mitochondria/immunology
Nitrobenzenes
Chemicals
Antibodies
Lectins
Nitrobenzenes
Hemocyanins
Alkaline Phosphatase
Authors & Affiliations
3 authors, click to expand affiliations / ORCID
Fox R A
Scheuer P J
Sherlock S
References (11)
11 references, click to expand
-
Primary billiary cirrhosis (chronic intrahepatic obstructive jaundice).
Gastroenterology. 1959 Nov;37:574-86
PMID: 14445875
-
A unified concept of autoimmune hepatitis.
Lancet. 1969 Apr 19;1(7599):813-5
PMID: 4180367
-
Bleeding oesophageal varices as the presenting feature in primary bilirary cirrhosis.
Lancet. 1969 Jul 5;2(7610):9-12
PMID: 4182832
-
Immunoglobulins in chronic liver disease.
Gut. 1968 Apr;9(2):193-8
PMID: 4172757
-
Primary biliary cirrhosis.
Proc R Soc Med. 1967 Dec;60(12):1257-60
PMID: 6066569
-
SEROLOGICAL TESTS IN DIAGNOSIS OF PRIMARY BILIARY CIRRHOSIS.
Lancet. 1965 Apr 17;1(7390):827-31
PMID: 14263538
-
Immunosuppressive therapy. The relation between clinical response and immunologic competence.
N Engl J Med. 1967 Jul 27;277(4):163-70
PMID: 4166031
-
Immunoglobulin changes in disease: quantitation on the basis of heavy polypeptide chains, IgG (gammaG), IgA (gammaA), and IgM (gammaM), and of light polypeptide chains, type K (I) and type L (II).
J Clin Invest. 1965 Nov;44(11):1778-87
PMID: 4158545
-
Impaired delayed hypersensitivity in primary biliary cirrhosis.
Lancet. 1969 May 10;1(7602):959-62
PMID: 4180814
-
Mitochondrial antibodies and subclinical liver disease.
Q J Med. 1970 Jan;39(153):31-48
PMID: 4193516
-
PRIMARY BILIARY CIRRHOSIS. CHRONIC NON-SUPPURATIVE DESTRUCTIVE CHOLANGITIS.
Am J Pathol. 1965 Mar;46:387-407
PMID: 14266218