A chance for Rituximab in Primary Biliary Cholangitis–Autoimmune Hepatitis Overlap Syndrome.

<title>Abstract</title> Autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC) may coexist as an overlap syndrome, which can be challenging to diagnose and manage. In this case report, we describe a patient with AIH–PBC overlap syndrome refractory to conventional immunosuppressive therapy and with steroid-dependent disease. Rituximab was administered as rescue therapy, achieving biochemical normalization. This case supports the potential role of rituximab as a therapeutic option in patients refractory to standard immunosuppressive treatments.

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Journal
Revista Andaluza de Patología Digestiva
Published
2026-03-11
DOI
https://doi.org/10.37352/2026491.5
Primary Topic
Liver Diseases and Immunity
Type
article
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article

A chance for Rituximab in Primary Biliary Cholangitis–Autoimmune Hepatitis Overlap Syndrome.

J.M. Sousa Martín, A Ruiz Sánchez, J Pereira Martinez, I Herrería Fernández
Revista Andaluza de Patología Digestiva
Liver Diseases and Immunity
article

A chance for Rituximab in Primary Biliary Cholangitis–Autoimmune Hepatitis Overlap Syndrome.

J.M. Sousa Martín, A Ruiz Sánchez, J Pereira Martinez, I Herrería Fernández
article en

Abstract

<title>Abstract</title> Autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC) may coexist as an overlap syndrome, which can be challenging to diagnose and manage. In this case report, we describe a patient with AIH–PBC overlap syndrome refractory to conventional immunosuppressive therapy and with steroid-dependent disease. Rituximab was administered as rescue therapy, achieving biochemical normalization. This case supports the potential role of rituximab as a therapeutic option in patients refractory to standard immunosuppressive treatments.

Revista Andaluza de Patología DigestivaVol. 49(1)
Hospital Universitario Virgen del Rocío (ES)
Good health and well-being
Openalex Percentile: Top 30%
Liver Diseases and Immunity
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