P. Perros et al., ANTIMITOCHONDRIAL ANTIBODIES IN PATIENTS WITH GRAVES-DISEASE MAY NOT SIGNIFY PRIMARY BILIARY-CIRRHOSIS, Postgraduate medical journal, 70(819), 1994, pp. 17-18
Two patients with Graves' disease were incidentally found to have anti
-mitochondrial antibodies by immunofluorescence in the absence of symp
toms, clinical signs or biochemical evidence of liver dysfunction. Ant
i-mitochondrial antibody titres became undetectable in both patients o
n follow-up. Screening of the patients' sera by immunoblotting against
the purified antigens of the M2 complex was negative. We conclude tha
t in these cases, anti-mitochondrial antibodies detected by immunofluo
rescence mere directed against antigens other than the primary biliary
cirrhosis-associated M2 complex and therefore did not signify subclin
ical primary biliary cirrhosis.