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Vieira Barbosa J, Vionnet J, Sciarra A, Sempoux C, Aubert V, Moradpour D, Fraga Christinet M. [Primary biliary cholangitis : an update]. Rev Med Suisse 2018; 14:1489-1494. [PMID: 30156781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Primary biliary cholangitis (PBC) is an autoimmune liver disease which affects primarily women and is characterized by progressive destruction of small intrahepatic bile ducts. Most common symptoms are fatigue and pruritus. Diagnostic hallmarks are cholestasis and positive antimitochondrial antibodies. The first-line therapy is ursodeoxycholic acid (UDCA), with excellent results when started at an early stage. Nevertheless, 30‑40 % of patients do not achieve a complete biochemical response with UDCA. In these cases, the adjunction of obeticholic acid can be discussed. Fibrates appear to be a promising alternative. Liver transplantation yields excellent outcomes in advanced cases.
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Affiliation(s)
| | - Julien Vionnet
- Service de gastroentérologie et d'hépatologie, CHUV, 1011 Lausanne
- Centre de transplantation d'organes, CHUV, 1011 Lausanne
| | | | | | - Vincent Aubert
- Service d'immunologie et d'allergie, CHUV, Université de Lausanne, 1011 Lausanne
| | - Darius Moradpour
- Service de gastroentérologie et d'hépatologie, CHUV, 1011 Lausanne
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Papadakis GE, Lamine F, Chtioui H, Moschouri E, Christinet MF, Marino L, Favre L, Sciarra A, Sempoux C, Schneider A, Duss FR, Sartori C, Moradpour D, Sykiotis GP. Rapid Remission of Graves' Hyperthyroidism Without Thionamides Under Immunosuppressive Treatment for Concomitant Autoimmune Hepatitis. Thyroid 2018; 28:276-278. [PMID: 29336235 DOI: 10.1089/thy.2017.0613] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Georgios E Papadakis
- 1 Service of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital , Lausanne, Switzerland
| | - Faiza Lamine
- 1 Service of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital , Lausanne, Switzerland
| | - Haithem Chtioui
- 2 Division of Clinical Pharmacology, Lausanne University Hospital , Lausanne, Switzerland
| | - Eleni Moschouri
- 3 Service of Gastroenterology and Hepatology, Lausanne University Hospital , Lausanne, Switzerland
| | | | - Laura Marino
- 1 Service of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital , Lausanne, Switzerland
| | - Lucie Favre
- 1 Service of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital , Lausanne, Switzerland
| | - Amedeo Sciarra
- 4 Institute of Pathology, Lausanne University Hospital , Lausanne, Switzerland
| | - Christine Sempoux
- 4 Institute of Pathology, Lausanne University Hospital , Lausanne, Switzerland
| | - Alexandra Schneider
- 5 Service of Internal Medicine, Lausanne University Hospital , Lausanne, Switzerland
| | - Francois-Regis Duss
- 5 Service of Internal Medicine, Lausanne University Hospital , Lausanne, Switzerland
| | - Claudio Sartori
- 5 Service of Internal Medicine, Lausanne University Hospital , Lausanne, Switzerland
| | - Darius Moradpour
- 3 Service of Gastroenterology and Hepatology, Lausanne University Hospital , Lausanne, Switzerland
| | - Gerasimos P Sykiotis
- 1 Service of Endocrinology, Diabetes and Metabolism, Lausanne University Hospital , Lausanne, Switzerland
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