KMID : 0388220110180010050
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Journal of the Korean Rheumatism Association 2011 Volume.18 No. 1 p.50 ~ p.54
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The Primary Biliary Cirrhosis Presenting with Raynaud¡¯s Disease and Digital Necrosis
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Hwang Yoon-Oo
Yoon Hwan Kang Jong-Sik Lee Sang-Ah Lee Woo-Je Lee Ki-Up Park Joong-Yeol
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Abstract
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Necrosis of the upper extremity occurs rarely in type 2 diabetic patients compared to lower extremity necrosis. We report a 69-year-old woman with type 2 diabetes mellitus who presented with necrosis of the left 5th finger tip. The patient had primary biliary cirrhosis accompanied by necrosis of the fingertip due to severe Raynaud¡¯s phenomenon. Primary biliary cirrhosis (PBC) is a typical autoimmune disease, which can in rare cases be accompanied by autoimmune symptoms including sicca symptom and Raynaud¡¯s phenomenon. Furthermore, autoimmune diseases, such as systemic sclerosis, rheumatoid arthritis and undifferentiated connective tissue disease (UCTD) can be associated. Although every type of vascular etiology should be considered as a cause of digital necrosis, Raynaud¡¯s phenomenon is usually not considered in diabetes. We report this case of finger tip necrosis due to severe Raynaud¡¯s phenomenon accompanied by PBC and UCTD in a diabetic patient.
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KEYWORD
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Primary biliary cirrhosis, Undifferentiated connective tissue disease, Raynaud¡¯s phenomenon, Necrosis, Fingers, Diabetes mellitus
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