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T1	Age 2 13	74-year-old
T2	Sex 14 17	man
T3	Clinical_event 22 30	referred
E1	Clinical_event:T3 
T4	Nonbiological_location 38 46	hospital
T5	Date 50 63	November 2000
E2	Date:T5 
T6	Sign_symptom 75 92	liver dysfunction
E3	Sign_symptom:T6 
T7	Disease_disorder 164 182	nephrotic syndrome
E4	Disease_disorder:T7 
T8	Date 186 190	1995
E5	Date:T8 
T9	Clinical_event 111 126	medical checkup
E6	Clinical_event:T9 
T10	Diagnostic_procedure 192 215	Laboratory examinations
E7	Diagnostic_procedure:T10 
T11	Diagnostic_procedure 232 259	serum hepatobiliary enzymes
E8	Diagnostic_procedure:T11 
T12	Lab_value 223 231	elevated
R1	MODIFY Arg1:T12 Arg2:E8	
T13	Diagnostic_procedure 264 267	IgM
E9	Diagnostic_procedure:T13 
R2	MODIFY Arg1:T12 Arg2:E9	
T14	Diagnostic_procedure 289 317	antimitochondrial antibodies
E10	Diagnostic_procedure:T14 
T15	Lab_value 277 285	presence
R3	MODIFY Arg1:T15 Arg2:E10	
T16	Diagnostic_procedure 341 352	Hepatitis B
E11	Diagnostic_procedure:T16 
T17	Diagnostic_procedure 319 336	Serologic markers
E12	Diagnostic_procedure:T17 
R4	SUB_PROCEDURE Arg1:E11 Arg2:E12	
T18	Diagnostic_procedure 341 350;357 358	Hepatitis C
E13	Diagnostic_procedure:T18 
R5	SUB_PROCEDURE Arg1:E13 Arg2:E12	
T19	Lab_value 372 380	negative
R6	MODIFY Arg1:T19 Arg2:E13	
R7	MODIFY Arg1:T19 Arg2:E11	
T20	Diagnostic_procedure 382 409	Histopathologic examination
E14	Diagnostic_procedure:T20 
T21	Diagnostic_procedure 421 436	biopsy specimen
E15	Diagnostic_procedure:T21 
T22	Biological_structure 415 420	liver
R8	MODIFY Arg1:T22 Arg2:E15	
T23	Therapeutic_procedure 449 460	laparoscopy
E16	Therapeutic_procedure:T23 
R9	MODIFY Arg1:E16 Arg2:E15	
T24	Disease_disorder 498 509	cholangitis
E17	Disease_disorder:T24 
T25	Detailed_description 470 485	non-suppurative
T26	Detailed_description 486 497	destructive
T27	Biological_structure 517 528	portal area
R10	MODIFY Arg1:T26 Arg2:E17	
R11	MODIFY Arg1:T25 Arg2:E17	
R12	MODIFY Arg1:T27 Arg2:E17	
T28	Disease_disorder 559 562	PBC
E18	Disease_disorder:T28 
T29	Disease_disorder 564 579	Scheuer stage 3
E19	Disease_disorder:T29 
R13	MODIFY Arg1:E19 Arg2:E18	
T30	Medication 599 619	ursodeoxycholic acid
E20	Medication:T30 
T31	Dosage 621 627	900 mg
T32	Frequency 628 633	daily
T33	Date 651 672	January and June 2002
E21	Date:T33 
T35	Therapeutic_procedure 696 724	endoscopic variceal ligation
E23	Therapeutic_procedure:T35 
T36	Therapeutic_procedure 730 764	endoscopic injection sclerotherapy
E24	Therapeutic_procedure:T36 
T37	Therapeutic_procedure 776 800	argon plasma coagulation
E25	Therapeutic_procedure:T37 
T38	Sign_symptom 815 833	esophageal varices
E26	Sign_symptom:T38 
T39	Severity 805 814	worsening
R14	MODIFY Arg1:T39 Arg2:E26	
T40	Date 838 852	September 2007
E27	Date:T40 
T41	Clinical_event 870 878	admitted
E28	Clinical_event:T41 
T42	Sign_symptom 910 928	esophageal varices
E29	Sign_symptom:T42 
T43	Severity 900 909	recurrent
R15	MODIFY Arg1:T43 Arg2:E29	
T44	Diagnostic_procedure 934 948	platelet count
E30	Diagnostic_procedure:T44 
T45	Lab_value 968 978	52 × 109/L
T46	Lab_value 983 993	69 × 109/L
R16	MODIFY Arg1:T45 Arg2:E30	
R17	MODIFY Arg1:T46 Arg2:E30	
T47	Duration 998 1011	several years
E31	Duration:T47 
R18	MODIFY Arg1:E31 Arg2:E30	
T48	Lab_value 1033 1041	decrease
T49	Lab_value 1047 1057	61 × 109/L
T50	Date 1061 1070	June 2007
E32	Date:T50 
T51	Lab_value 1074 1083	8 × 109/L
T52	Date 1084 1105	just before admission
E33	Date:T52 
T53	Coreference 1017 1019	it
E34	Coreference:T53 
R19	IDENTICAL Arg1:E34 Arg2:E30	
T54	Sign_symptom 1135 1151	thrombocytopenia
E35	Sign_symptom:T54 
T55	Detailed_description 1118 1131	deterioration
R20	MODIFY Arg1:T55 Arg2:E35	
T56	Disease_disorder 1172 1191	infectious diseases
E36	Disease_disorder:T56 
A1	POLARITY E36 NEG
T57	Medication 1214 1224	medication
E37	Medication:T57 
A2	POLARITY E37 NEG
T58	Date 1229 1238	admission
E38	Date:T58 
T59	Sign_symptom 1264 1271	purpura
E39	Sign_symptom:T59 
A3	POLARITY E39 NEG
T60	Sign_symptom 1276 1293	bleeding episodes
E40	Sign_symptom:T60 
A4	POLARITY E40 NEG
T61	Diagnostic_procedure 1347 1376	platelet-associated IgG level
E41	Diagnostic_procedure:T61 
T62	Lab_value 1390 1394	high
T63	Detailed_description 1381 1389	markedly
R21	MODIFY Arg1:T63 Arg2:T62	
R22	MODIFY Arg1:T62 Arg2:E41	
T64	Diagnostic_procedure 1408 1414	biopsy
E42	Diagnostic_procedure:T64 
T65	Biological_structure 1396 1407	Bone marrow
R23	MODIFY Arg1:T65 Arg2:E42	
T66	Sign_symptom 1424 1444	normocellular marrow
E43	Sign_symptom:T66 
T67	Sign_symptom 1453 1468	cellular atypia
E44	Sign_symptom:T67 
A5	POLARITY E44 NEG
T68	Diagnostic_procedure 1470 1485	Ultrasonography
E45	Diagnostic_procedure:T68 
T69	Diagnostic_procedure 1490 1516	magnetic resonance imaging
E46	Diagnostic_procedure:T69 
T70	Sign_symptom 1528 1537	cirrhotic
E47	Sign_symptom:T70 
T71	Biological_structure 1538 1543	liver
R24	MODIFY Arg1:T71 Arg2:E47	
T72	Sign_symptom 1549 1561	splenomegaly
E48	Sign_symptom:T72 
T73	Sign_symptom 1563 1570	ascites
E49	Sign_symptom:T73 
T74	Sign_symptom 1576 1586	gallstones
E50	Sign_symptom:T74 
T75	Diagnostic_procedure 1592 1603	spleen size
E51	Diagnostic_procedure:T75 
T76	Lab_value 1617 1626	unchanged
R25	MODIFY Arg1:T76 Arg2:E51	
T77	Detailed_description 1632 1640	previous
T78	Diagnostic_procedure 1641 1661	imaging examinations
E52	Diagnostic_procedure:T78 
R26	MODIFY Arg1:T77 Arg2:E52	
R27	MODIFY Arg1:E52 Arg2:T76	
T79	Disease_disorder 1707 1710	PBC
E53	Disease_disorder:T79 
T80	Disease_disorder 1712 1741	decompensated liver cirrhosis
E54	Disease_disorder:T80 
T81	Disease_disorder 1748 1751	ITP
E55	Disease_disorder:T81 
T82	Diagnostic_procedure 1767 1807	Human leukocyte antigen (HLA) genotyping
E56	Diagnostic_procedure:T82 
T83	Diagnostic_procedure 1822 1871	polymerase chain reaction-sequencing-based typing
E57	Diagnostic_procedure:T83 
T84	Diagnostic_procedure 1875 1926	polymerase chain reaction-sequence specific primers
E58	Diagnostic_procedure:T84 
R28	SUB_PROCEDURE Arg1:E57 Arg2:E56	
R29	SUB_PROCEDURE Arg1:E58 Arg2:E56	
T85	Sign_symptom 1962 1972	A*02010101
E59	Sign_symptom:T85 
T86	Sign_symptom 1974 1982	B*400201
E60	Sign_symptom:T86 
T87	Sign_symptom 1984 1992	C*030401
E61	Sign_symptom:T87 
T88	Sign_symptom 1994 2004	C*07020101
E62	Sign_symptom:T88 
T89	Sign_symptom 2006 2015	DPB1*0501
E63	Sign_symptom:T89 
T90	Sign_symptom 2017 2026	DQA1*0103
E64	Sign_symptom:T90 
T91	Sign_symptom 2028 2039	DQA1*030101
E65	Sign_symptom:T91 
T92	Sign_symptom 2041 2052	DQB1*030201
E66	Sign_symptom:T92 
T93	Sign_symptom 2054 2065	DQB1*060101
E67	Sign_symptom:T93 
T94	Sign_symptom 2067 2078	DRB1*080201
E68	Sign_symptom:T94 
T95	Sign_symptom 2084 2095	DRB1*080302
E69	Sign_symptom:T95 
T96	Diagnostic_procedure 2101 2121	13C urea breath test
E70	Diagnostic_procedure:T96 
T97	Diagnostic_procedure 2126 2144	H pylori infection
E71	Diagnostic_procedure:T97 
R30	SUB_PROCEDURE Arg1:E70 Arg2:E71	
T98	Lab_value 2149 2157	negative
R31	MODIFY Arg1:T98 Arg2:E71	
T99	Medication 2201 2213	prednisolone
E72	Medication:T99 
T100	Administration 2196 2200	Oral
R32	MODIFY Arg1:T100 Arg2:E72	
T101	Dosage 2215 2220	30 mg
T102	Frequency 2221 2226	daily
T103	Coreference 2232 2235	ITP
E73	Coreference:T103 
R33	IDENTICAL Arg1:E73 Arg2:E55	
T104	Date 2251 2257	day 11
E74	Date:T104 
T105	Medication 2263 2279	diuretic therapy
E75	Medication:T105 
T106	Medication 2294 2310	albumin infusion
E76	Medication:T106 
R34	CAUSE Arg1:E73 Arg2:E72	
T107	Sign_symptom 2315 2322	ascites
E77	Sign_symptom:T107 
R35	CAUSE Arg1:E77 Arg2:E76	
R36	CAUSE Arg1:E77 Arg2:E75	
T108	Diagnostic_procedure 2345 2359	platelet count
E78	Diagnostic_procedure:T108 
T109	Lab_value 2360 2384	did not increase notably
R37	MODIFY Arg1:T109 Arg2:E78	
T110	Medication 2386 2399	pulse therapy
E79	Medication:T110 
T111	Administration 2405 2416	intravenous
T112	Medication 2417 2435	methylprednisolone
E80	Medication:T112 
R38	MODIFY Arg1:T111 Arg2:E80	
T113	Dosage 2437 2440	1 g
T114	Frequency 2441 2446	daily
T115	Duration 2461 2471	d 22 to 24
E81	Duration:T115 
T116	Coreference 2486 2494	response
E82	Coreference:T116 
R40	IDENTICAL Arg1:E82 Arg2:E78	
T117	Lab_value 2499 2503	weak
R41	MODIFY Arg1:T117 Arg2:E82	
T118	Detailed_description 2508 2517	temporary
R42	MODIFY Arg1:T118 Arg2:E82	
T119	Date 2522 2526	d 31
E83	Date:T119 
T120	Sign_symptom 2533 2539	melena
E84	Sign_symptom:T120 
T121	Severity 2528 2532	mild
R43	MODIFY Arg1:T121 Arg2:E84	
T122	Medication 2601 2630	immune gamma globulin therapy
E85	Medication:T122 
T123	Administration 2589 2600	intravenous
R44	MODIFY Arg1:T123 Arg2:E85	
T124	Detailed_description 2580 2585	trial
R45	MODIFY Arg1:T124 Arg2:E85	
T125	Dosage 2632 2636	25 g
T126	Frequency 2637 2642	daily
R46	MODIFY Arg1:T126 Arg2:E85	
T127	Duration 2647 2657	d 32 to 36
E86	Duration:T127 
T128	Medication 2703 2735	methylprednisolone pulse therapy
E87	Medication:T128 
T129	Administration 2691 2702	intravenous
T130	Detailed_description 2675 2687	second round
R47	MODIFY Arg1:T130 Arg2:E87	
R48	MODIFY Arg1:T129 Arg2:E87	
T131	Duration 2739 2749	d 32 to 34
E88	Duration:T131 
T132	Coreference 2770 2778	response
E89	Coreference:T132 
T133	Diagnostic_procedure 2829 2843	platelet count
E90	Diagnostic_procedure:T133 
R49	IDENTICAL Arg1:E89 Arg2:E78	
T134	Lab_value 2761 2769	moderate
R50	MODIFY Arg1:T134 Arg2:E89	
T135	Medication 2793 2805	prednisolone
E91	Medication:T135 
T136	Clinical_event 2810 2819	continued
E92	Clinical_event:T136 
R51	MODIFY Arg1:E92 Arg2:E91	
T137	Lab_value 2844 2860	increased slowly
R52	MODIFY Arg1:T137 Arg2:E90	
T138	Sign_symptom 2866 2904	ascites was relatively well controlled
E93	Sign_symptom:T138 
T139	Medication 2910 2919	diuretics
E94	Medication:T139 
R53	CAUSE Arg1:E94 Arg2:E93	
T140	Clinical_event 2923 2932	discharge
E95	Clinical_event:T140 
T141	Disease_disorder 2950 2979	decompensated liver cirrhosis
E96	Disease_disorder:T141 
T142	Diagnostic_procedure 2988 3002	platelet count
E97	Diagnostic_procedure:T142 
T143	Clinical_event 3047 3056	follow-up
E98	Clinical_event:T143 
T144	Sign_symptom 3060 3078	esophageal varices
E99	Sign_symptom:T144 
T145	Therapeutic_procedure 3087 3118	prophylactic endoscopic therapy
E100	Therapeutic_procedure:T145 
A6	POLARITY E100 NEG
R54	MODIFY Arg1:T4 Arg2:E1	
*	OVERLAP E1 E2 E3
R55	AFTER Arg1:E3 Arg2:E6	
R56	AFTER Arg1:E6 Arg2:E4	
*	OVERLAP E4 E5
R57	BEFORE Arg1:E5 Arg2:E7	
*	OVERLAP E7 E8 E9 E10 E12 E14 E15 E17 E18
R58	MODIFY Arg1:T31 Arg2:E20	
R59	MODIFY Arg1:T32 Arg2:E20	
R60	BEFORE Arg1:E18 Arg2:E20	
R61	BEFORE Arg1:E20 Arg2:E21	
R63	BEFORE Arg1:E26 Arg2:E27	
*	OVERLAP E27 E28 E29
R64	AFTER Arg1:E29 Arg2:E30	
R65	BEFORE Arg1:E30 Arg2:E34	
R66	MODIFY Arg1:T48 Arg2:E34	
R67	MODIFY Arg1:T49 Arg2:E34	
R68	MODIFY Arg1:E32 Arg2:T49	
R69	MODIFY Arg1:T51 Arg2:E34	
R70	MODIFY Arg1:E33 Arg2:T51	
R71	BEFORE Arg1:E34 Arg2:E32	
R72	BEFORE Arg1:E32 Arg2:E33	
*	OVERLAP E33 E35
R73	AFTER Arg1:E35 Arg2:E36	
*	OVERLAP E36 E37
R74	BEFORE Arg1:E37 Arg2:E38	
*	OVERLAP E38 E39 E40 E41 E42 E43 E44 E45 E46 E47 E48 E49 E50 E51
R75	BEFORE Arg1:E51 Arg2:E53	
R76	IDENTICAL Arg1:E53 Arg2:E54	
*	OVERLAP E53 E55 E56 E59 E60 E61 E62 E63 E64 E65 E66 E67 E68 E69 E70
R77	BEFORE Arg1:E70 Arg2:E72	
R78	MODIFY Arg1:T101 Arg2:E72	
R79	MODIFY Arg1:T102 Arg2:E72	
*	OVERLAP E72 E74 E75 E76
R80	BEFORE Arg1:E76 Arg2:E78	
*	OVERLAP E78 E79 E80 E81
R39	MODIFY Arg1:T113 Arg2:E80	
R81	MODIFY Arg1:T114 Arg2:E80	
R82	BEFORE Arg1:E81 Arg2:E82	
R83	BEFORE Arg1:E82 Arg2:E83	
R84	MODIFY Arg1:T125 Arg2:E85	
*	OVERLAP E83 E84
R85	BEFORE Arg1:E84 Arg2:E85	
*	OVERLAP E85 E86 E87 E88
R86	BEFORE Arg1:E88 Arg2:E89	
*	OVERLAP E89 E91 E90
R87	BEFORE Arg1:E90 Arg2:E93	
*	OVERLAP E93 E95 E96 E97
R88	MODIFY Arg1:E99 Arg2:E98	
R89	BEFORE Arg1:E97 Arg2:E98	
*	OVERLAP E98 E100
*	OVERLAP E21 E23 E24 E25 E26