The management of autoimmunity in patients with cholestatic liver diseases

Expert Rev Gastroenterol Hepatol. 2016;10(1):73-91. doi: 10.1586/17474124.2016.1095088. Epub 2015 Nov 2.

Abstract

Cholestatic liver diseases are rare diseases that often lead to cirrhosis and its consequent complications. In addition to liver-related morbidity, patients with cholestatic liver diseases often suffer from autoimmune diseases that affect several organs and tissues. The robust and efficient data collection and collaboration between hepatologists and rheumatologists have led to significant advancements in understanding the relationship between the cholestatic liver diseases and associated autoimmune diseases. In this paper, we discuss the cholestatic liver diseases (primary biliary cirrhosis, primary sclerosing cholangitis and immunoglobulin G4 associated cholangitis) and associated autoimmune diseases.

Keywords: IgG4-associated cholangitis; antimitochondrial antibody; autoimmune; primary biliary cirrhosis; primary sclerosing cholangitis.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / epidemiology
  • Autoimmune Diseases / complications*
  • Autoimmune Diseases / diagnosis
  • Autoimmune Diseases / therapy
  • Autoimmunity
  • Celiac Disease / complications
  • Celiac Disease / diagnosis
  • Celiac Disease / epidemiology
  • Cholangitis, Sclerosing / complications*
  • Cholangitis, Sclerosing / diagnosis
  • Cholangitis, Sclerosing / epidemiology
  • Cholangitis, Sclerosing / immunology*
  • Disease Progression
  • Hepatitis, Autoimmune / complications
  • Hepatitis, Autoimmune / diagnosis
  • Hepatitis, Autoimmune / drug therapy
  • Hepatitis, Autoimmune / epidemiology
  • Humans
  • Immunoglobulin G / blood*
  • Immunoglobulin G / immunology
  • Inflammatory Bowel Diseases / complications
  • Inflammatory Bowel Diseases / diagnosis
  • Inflammatory Bowel Diseases / epidemiology
  • Inflammatory Bowel Diseases / therapy
  • Liver Cirrhosis, Biliary / complications*
  • Liver Cirrhosis, Biliary / diagnosis
  • Liver Cirrhosis, Biliary / drug therapy
  • Liver Cirrhosis, Biliary / epidemiology
  • Lupus Erythematosus, Systemic / complications
  • Pancreatitis / complications
  • Pancreatitis / diagnosis
  • Pancreatitis / drug therapy
  • Pancreatitis / epidemiology
  • Pancreatitis / immunology
  • Polymyositis / complications
  • Polymyositis / diagnosis
  • Polymyositis / epidemiology
  • Prognosis
  • Scleroderma, Diffuse / complications
  • Scleroderma, Diffuse / diagnosis
  • Scleroderma, Diffuse / epidemiology
  • Sjogren's Syndrome / complications
  • Sjogren's Syndrome / diagnosis*
  • Sjogren's Syndrome / therapy
  • Skin Diseases / complications
  • Skin Diseases / etiology
  • Thyroid Diseases / complications
  • Thyroid Diseases / therapy

Substances

  • Immunoglobulin G