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Ueda‐Hayakawa I, Nguyen CTH, Kishimoto I, Ly NTM, Okamoto H. Clinical characteristics of sarcoidosis patients with systemic sclerosis‐specific autoantibody: Possible involvement of thymus and activation‐regulated chemokine and a review of the published works. J Dermatol 2019; 46:577-583. [DOI: 10.1111/1346-8138.14932] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 04/24/2019] [Indexed: 11/29/2022]
Affiliation(s)
| | - Chuyen Thi Hong Nguyen
- Department of Dermatology Kansai Medical University Hirakata Osaka Japan
- Department of Dermatology and Venereology University of Medicine and Pharmacy Ho Chi Minh City Vietnam
| | - Izumi Kishimoto
- Department of Dermatology Kansai Medical University Hirakata Osaka Japan
| | - Nhung Thi My Ly
- Department of Dermatology Kansai Medical University Hirakata Osaka Japan
| | - Hiroyuki Okamoto
- Department of Dermatology Kansai Medical University Hirakata Osaka Japan
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2
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Floreani A, De Martin S, Secchi MF, Cazzagon N. Extrahepatic autoimmunity in autoimmune liver disease. Eur J Intern Med 2019; 59:1-7. [PMID: 30360943 DOI: 10.1016/j.ejim.2018.10.014] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Accepted: 10/16/2018] [Indexed: 02/07/2023]
Abstract
The most important autoimmune liver disease include: autoimmune hepatitis, primary biliary cholangitis and primary sclerosing cholangitis. In general, about one in three patients with an autoimmune liver disease have a concomitant extrahepatic autoimmune disease, which may include rheumatological, endocrinological, gastrointestinal, pulmonary or dermatological conditions. The pathogenesis of these conditions includes the production of both innate and adaptive immune responses targeting cholangiocytes as well as different extrahepatic tissues. In this sense, extrahepatic autoimmunity represent a continuous spectrum of autoimmunity involving liver and extrahepatic tissues. This review aims to focus the clinical and pathophysiological aspects of extrahepatic autoimmunity associated to autoimmune liver diseases.
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Affiliation(s)
- Annarosa Floreani
- Dept of Surgery, Oncology and Gastroenterology, University of Padova, Via Giustiniani, 2, 35128, Italy.
| | - Sara De Martin
- Department of Pharmaceutical and Pharmacological Sciences, University of Padova, Padova, Italy
| | - Maria Francesca Secchi
- Dept of Surgery, Oncology and Gastroenterology, University of Padova, Via Giustiniani, 2, 35128, Italy
| | - Nora Cazzagon
- Dept of Surgery, Oncology and Gastroenterology, University of Padova, Via Giustiniani, 2, 35128, Italy
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Floreani A, Cazzagon N. PBC and related extrahepatic diseases. Best Pract Res Clin Gastroenterol 2018; 34-35:49-54. [PMID: 30343710 DOI: 10.1016/j.bpg.2018.05.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2018] [Accepted: 05/22/2018] [Indexed: 01/31/2023]
Abstract
Patients with PBC have at least 60% of probability to have an autoimmune extrahepatic condition. The pathogenesis of these conditions includes a common mechanism involving both innate and adaptive immune responses targeting cholangiocytes and different extrahepatic tissues. The recent EASL guidelines recommend the management of these conditions, although detailed practical treatments have not been indicated. Autoimmune extrahepatic conditions may include: rheumatologic, endocrine, pulmonary, gastrointestinal, dermatologic diseases. This review aims to focus the most important extrahepatic autoimmune conditions associated to PBC with practical recommendation regarding diagnostic approach and management.
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Affiliation(s)
- Annarosa Floreani
- Dept. of Surgery, Oncology and Gastroenterology, University of Padova, Italy.
| | - Nora Cazzagon
- Dept. of Surgery, Oncology and Gastroenterology, University of Padova, Italy
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4
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Sarcoidosis and Systemic Sclerosis: Strange Bedfellows. Case Rep Rheumatol 2017; 2017:7851652. [PMID: 29312791 PMCID: PMC5613691 DOI: 10.1155/2017/7851652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 07/27/2017] [Indexed: 02/01/2023] Open
Abstract
Coexistence of systemic sclerosis and sarcoidosis is rare. Both have predominant lung manifestations, each with distinctive features on computed tomography (CT) of the chest. We present herein a 52-year-old male with limited systemic sclerosis manifested primarily by sclerodactyly and subsequently by shortness of breath. A series of CT scans of the chest were reviewed. Initial CT chest one year prior to sclerodactyly onset revealed bilateral hilar and right paratracheal, prevascular, and subcarinal adenopathy. Five-year follow-up demonstrated thin-walled cysts, mediastinal lymphadenopathy, and nonspecific nodules. Due to progression of dyspnea, follow-up CT chest after one year again demonstrated multiple cysts with peripheral nodularity and subpleural nodules, but no longer with hilar or mediastinal adenopathy. Diagnostic open lung biopsy was significant for noncaseating granulomas suggestive of sarcoidosis. This is the first known case of a patient with systemic sclerosis diagnosed with sarcoidosis through lung biopsy without radiographic evidence of hilar or mediastinal lymphadenopathy at the time of biopsy. A review of cases of concomitant sarcoidosis and systemic sclerosis is discussed, including the pathophysiology of each disease with shared pathways leading to the development of both conditions in one patient.
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Terziroli Beretta-Piccoli B, Guillod C, Marsteller I, Blum R, Mazzucchelli L, Mondino C, Invernizzi P, Gershwin ME, Mainetti C. Primary Biliary Cholangitis Associated with Skin Disorders: A Case Report and Review of the Literature. Arch Immunol Ther Exp (Warsz) 2017; 65:299-309. [DOI: 10.1007/s00005-016-0448-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Accepted: 12/07/2016] [Indexed: 01/12/2023]
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Koksal D, Koksal AS, Gurakar A. Pulmonary Manifestations among Patients with Primary Biliary Cirrhosis. J Clin Transl Hepatol 2016; 4:258-262. [PMID: 27777894 PMCID: PMC5075009 DOI: 10.14218/jcth.2016.00024] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2016] [Revised: 07/30/2016] [Accepted: 07/31/2016] [Indexed: 12/28/2022] Open
Abstract
Primary biliary cirrhosis (PBC) is a chronic progressive cholestatic liver disease caused by diffuse inflammation, destruction and fibrosis of the intrahepatic bile ducts, ultimately leading to cirrhosis, portal hypertension and liver failure. The pathogenesis of PBC is incompletely understood, but current data suggest roles for genetic susceptibility and environmental factors. PBC is often thought of as an organ-specific autoimmune disease, which mainly targets the liver; however, lung tissue is also a site for autoimmune involvement of PBC. The pulmonary manifestations of PBC include abnormalities in gas transfer and pulmonary function, subclinical alveolitis, interstitial lung disease, granulomatous lung disease, airway disease, pulmonary hypertension, pulmonary hemorrhage and pleural effusion.
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Affiliation(s)
- Deniz Koksal
- Department of Chest Diseases, Hacettepe University School of Medicine, Ankara, Turkey
- *Correspondence to: Deniz Koksal, Department of Chest Diseases, Hacettepe University School of Medicine, Sihhiye Altindag, Ankara 06100, Turkey. Tel: +90-532-4653980, Fax: +90-312-3100809, E-mail:
| | - Aydin Seref Koksal
- Department of Gastroenterology, Sakarya University School of Medicine, Sakarya, Turkey
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
| | - Ahmet Gurakar
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
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7
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Aqodad N, Loukili B, Gallouj S, Harmouch T, Amarti A, Mernissi FZ, Ibrahimi A. [Sarcoidosis and primary biliary cirrhosis association: report of a new case]. Pan Afr Med J 2014; 18:279. [PMID: 25489373 PMCID: PMC4258216 DOI: 10.11604/pamj.2014.18.279.1312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2011] [Accepted: 06/25/2012] [Indexed: 11/11/2022] Open
Abstract
La sarcoïdose est une maladie systémique d’étiologie inconnue. Elle est caractérisée par la présence de lésions granulomateuses, non caséeuses, au niveau des organes atteints. La cirrhose biliaire primitive (CBP) est une hépatopathie cholestatique auto-immune chronique, caractérisée par une destruction des canalicules biliaires et la présence d'anticorps antimitchondries type M2. L'association sarcoïdose et CBP est rare. Nous rapportons un nouveau cas de cette association avec revue de la littérature.
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Affiliation(s)
- Nourdin Aqodad
- Service d'hépatogastroentérologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - Bouchra Loukili
- Service d'hépatogastroentérologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - Salim Gallouj
- Service de deratologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - Taoufik Harmouch
- Service d'anatomopathologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - Afaf Amarti
- Service d'anatomopathologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - F Z Mernissi
- Service de deratologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
| | - Adil Ibrahimi
- Service de deratologie, CHU Hassan II de Fès, Maroc, Faculté de médecine et de pharmacie de Fès, Maroc
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Ogane K, Kato T, Mizushima I, Kawano M, Yamagishi M. A case of sarcoidosis developing as sarcoid myopathy concomitant with systemic sclerosis and review of the literature. Mod Rheumatol 2014. [DOI: 10.3109/s10165-011-0482-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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9
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Coexistence of sarcoidosis and systemic sclerosis. Case Rep Rheumatol 2013; 2013:684216. [PMID: 24381778 PMCID: PMC3870080 DOI: 10.1155/2013/684216] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Accepted: 11/14/2013] [Indexed: 12/03/2022] Open
Abstract
Sarcoidosis is a multisystem granulomatous disease characterized by hilar lymphadenopathy, involvement of internal organs, and diverse skin lesions. Systemic sclerosis is an autoimmune disease characterized by skin hardening and different internal organ fibrosis, including vascular abnormality. Immune response associated with Th-2 has been shown in the early and active stage of the disease. In this paper, we report coexistence of systemic sclerosis with sarcoidosis in a female patient presenting with granulomatous dermatitis, interstitial lung disease, and Raynaud's phenomenon complaints.
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Buxbaum J, Papademetriou M, Klipfel N, Selby R, Fong TL, Sharma O. Biliary Sarcoidosis: Early Diagnosis Minimizes the Need for Surgery. Am J Respir Crit Care Med 2013; 187:556-9. [DOI: 10.1164/ajrccm.187.5.556] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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11
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Current world literature. Curr Opin Ophthalmol 2011; 22:523-9. [PMID: 22005482 DOI: 10.1097/icu.0b013e32834cb7d7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Carlesimo M, Narcisi A, Orsini D, Cortesi G, Abruzzese C, Giovagnoli S, Giubettini M, Camplone G. A Rare Case of Sarcoidosis and Morphea. EUR J INFLAMM 2011. [DOI: 10.1177/1721727x1100900312] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
In the last decades several cases of association between sarcoidosis and various autoimmune diseases have been described, leading us to stress the concept of a possible common genetic “soil” of predisposition. The majority of these cases were association between sarcoidosis and generalized scleroderma, but only one case of localized scleroderma and sarcoidosis. In this report, we describe a case of a female patient in which a diagnosis of pulmonary sarcoidosis and morphea was made.
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Affiliation(s)
- M. Carlesimo
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - A. Narcisi
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - D. Orsini
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - G. Cortesi
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - C. Abruzzese
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - S. Giovagnoli
- UOC Pneumology, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
| | - M. Giubettini
- Department of Histopathology, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome, Italy
| | - G. Camplone
- Dermatology Unit, S.Andrea Hospital, Faculty of Medicine and Psychology, University of Rome “Sapienza”, Rome
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Ogane K, Kato T, Mizushima I, Kawano M, Yamagishi M. A case of sarcoidosis developing as sarcoid myopathy concomitant with systemic sclerosis and review of the literature. Mod Rheumatol 2011; 22:142-6. [PMID: 21674219 DOI: 10.1007/s10165-011-0482-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2011] [Accepted: 05/24/2011] [Indexed: 11/30/2022]
Abstract
A 65-year-old man was diagnosed with systemic sclerosis on the basis of skin thickening and positivity of anti-Scl-70 antibodies. Because myogenic enzymes, such as creatinine phosphokinase and aldorase, were also elevated, myopathy or myositis associated with systemic sclerosis was considered. Muscle magnetic resonance imaging and gallium scintigraphy did not show abnormalities. Findings of muscle biopsy demonstrated presence of noncaseating granulomas with multinucleated giant cells. In addition, serum angiotensin-converting enzyme and lysozyme were elevated, and therefore a diagnosis of sarcoid myopathy was made. Further, renal sarcoidosis was revealed with renal biopsy. Prednisolone (40 mg/day) improved both the myopathy and nephritis. Sarcoid myopathy is a rare condition, but it should be considered when myogenic enzymes are elevated in the patient with systemic sclerosis. Further, muscle biopsy may be essential to make an accurate diagnosis in such condition.
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Affiliation(s)
- Kunihiro Ogane
- Division of Nephrology and Rheumatology, Ishikawa Prefectural Central Hospital, 2-1 Kuratsuki-higashi, Kanazawa 920-8530, Japan
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