King Fahad Medical City
Saudi Arabia						                            
                            
						
 Case Report
												An Unusual Case of Grave’s Disease
  with Primary Sclerosing Cholangitis (PSC) 						
Author(s): Abdul-Rahman  Mashi and Naji J Al- JohaniAbdul-Rahman  Mashi and Naji J Al- Johani             
						
												
				 Grave’s disease is an autoimmune thyroid disease with multi-system involvement. It’s manifestations are diverse, including liver function abnormalities and association with other autoimmune disease. The objective of this report is to present an unusual case of Grave’s disease with PSC. This is a 28-year-old woman that present with cholestatic jaundice along with signs and symptoms of thyrotoxicosis. She diagnosed to have Grave’s disease with PSC. Despite an initial high bilirubin, treatment with antithyroid agents in addition to Ursodeoxycholic acid led to marked improvement in her clinical status and bilirubin level. The proposed mechanisms underlying the association of Grave’s disease with PSC are discussed and the literature on similar cases is highlighted. Both Grave’s disease and PSC have been shown to be associated with other autoimmune mediat.. Read More»
				  
												DOI:
												 10.4172/2165-7920.1000916 
																	  
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