An interplay of genetic and environmental factors in familial hepatitis and myasthenia gravis.

Abstract:

:A family is described in which there occurred two cases of the lupoid type of active chronic hepatitis with cirrhosis, one of chronic persistent hepatitis, and one of myasthenia gravis. The two cases of lupoid hepatitis were in the proposita, a schoolgirl aged 16 years, and her great-aunt aged 69 years whom she had never met. The case of myasthenia gravis was that of the father. The whole family, except the great-aunt, had been exposed to an epidemic of infectious hepatitis five years previously, and the girl and her brother had contracted this disease. The schoolgirl later developed active chronic hepatitis while her brother had chronic persistent hepatitis without immunological concomitants. APART FROM COINCIDENCE, SOME COMBINATION OF THREE PROCESSES WAS REQUIRED TO ACCOUNT FOR THE ILLNESSES IN THIS FAMILY: a genetic predisposition to chronic liver disease in particular, a genetic predisposition to autoimmune reactions in general, and a ;triggering' effect of infection with the hepatitis virus.

journal_name

Gut

journal_title

Gut

authors

Whittingham S,Mackay IR,Kiss ZS

doi

10.1136/gut.11.10.811

subject

Has Abstract

pub_date

1970-10-01 00:00:00

pages

811-6

issue

10

eissn

0017-5749

issn

1468-3288

journal_volume

11

pub_type

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