Title: Shoulder and elbow tendini􀆟 s as ini􀆟 al manifesta􀆟 on of autoimmune hepa􀆟 􀆟 s

Biography:

Huang Wei Ling has graduated in medicine in Brazil, specialist in infec􀆟 ous and parasi􀆟 c diseases, a General Prac􀆟 􀆟 oner and Parenteral and Enteral Medical Nutri􀆟 on Therapist.
She has been the in charge of the Hospital Infecô€†Ÿ on Control Service of the City of Franca’s General Hospital, she was responsible for the control of all prescribed anô€†Ÿ microbial
medica􀆟 on and received an award for the best paper presented at the Brazilian Hospital Infec􀆟 on Control Congress in 1998. Since 1997, she works with the approach and
treatment of all diseases of all systems of the human body in a holis􀆟 c way, with treatment guided through the teachings of Tradi􀆟 onal Chinese Medicine and Hippocrates.

Abstract

Introduc􀆟 on: The tendini􀆟 s is commonly defi ned as an
infl amma􀆟 on of the tendon, which is what connects bones
to muscle. On the major literature, tendini􀆟 s is usually caused
by repe􀆟 􀆟 on of movements and lack of stretching. However,
the cause was never before associated to a disease in the
liver, such as Autoimmune Hepa􀆟 􀆟 s. According to Tradi􀆟 onal
Chinese Medicine (TCM), tendons are governed by the energy
of the Gallbladder meridian, which is a􀆩 ached to the Liver
energy.
Purpose: The aim of this study is to demonstrate that tendini􀆟 s
may be an early manifesta􀆟 on of Autoimmune Hepa􀆟 􀆟 s.
Methods: Through a clinical case report of a female pa􀆟 ent,
M.C., 42 years old, with chronic pain in shoulder and elbow,
resistant to conven􀆟 onal treatments with an􀆟 -infl ammatories
and physiotherapy. She sought acupuncture treatment,
and even so, the improvement presented was scarce. In her
physical examina􀆟 on, a bulging was detected in the right
ear, on the area that corresponds to the Liver, according to
Auricular Medicine. Laboratory tests were requested to see
if there could be any undiagnosed liver disease un􀆟 l then.
The only exam that was ini􀆟 ally altered was the prothrombin
􀆟 me of 89%. More tests were ordered to see whether an􀆟 -
bodies were present. An􀆟 -nuclear, an􀆟 -smooth muscle, an􀆟 -
microsomal.
Results: To the physician's surprise, the pa􀆟 ent had a 1:160
an􀆟 -nucleus reagent.
Conclusion: The conclusion of this study is that tendini􀆟 s may
be the ini􀆟 al manifesta􀆟 on of an Autoimmune Hepa􀆟 􀆟 s.