Diagnostic Dilemma: Lupus-Related Hepatitis Versus Autoimmune Hepatitis in Systemic Lupus Erythematosus

2017 ◽  
Vol 2 (2-3) ◽  
pp. 36-39
Author(s):  
Bhupen Barman ◽  
Arvind Nongpiur ◽  
Vandana Raphael ◽  
Sameer Joshi ◽  
Taso Beyong ◽  
...  
2020 ◽  
Vol 13 (12) ◽  
pp. e237341
Author(s):  
Daniela Goyes ◽  
Vijayram R Malladi ◽  
Rizwan Ishtiaq ◽  
Ahmed Al-Khazraji

Autoimmune hepatitis (AIH) is an autoimmune liver disease characterised by the presence of autoantibodies including antinuclear antibodies, anti-smooth muscle antibody and hypergammaglobulinaemia. Systemic lupus erythematosus (SLE) is a systemic disease that can affect multiple organs. Coexistence of AIH and SLE as an overlap syndrome occurs in about 1%–2.6% of the AIH cases. Since both conditions share common autoimmune features, their coexistence can pose a diagnostic dilemma which can result in a delay in treatment. We present here a challenging case of a middle-aged woman with AIH in remission who later developed new-onset fatigue, pleural effusion and splenomegaly.


2007 ◽  
Vol 37 (9) ◽  
pp. 771-774 ◽  
Author(s):  
Atsushi Takahashi ◽  
Tsuyoshi Rai ◽  
Michio Onizawa ◽  
Kyoko Monoe ◽  
Yukiko Kanno ◽  
...  

2006 ◽  
Vol 27 (5) ◽  
pp. 489-491 ◽  
Author(s):  
Feng-Cheng Liu ◽  
Deh-Ming Chang ◽  
Jenn-Haung Lai ◽  
Chih-Kung Lin ◽  
Hsiang-Cheng Chen ◽  
...  

2007 ◽  
Vol 35 (4) ◽  
pp. 601-604 ◽  
Author(s):  
C. L. Cassar

This report describes a pregnant woman with systemic lupus erythematosus and autoimmune hepatitis who presented with threatened labour and acute renal failure. She developed respiratory distress, haematemesis and became coagulopathic. Intrauterine death occurred and she was admitted to the intensive care unit after caesarean section. She suffered sudden cardiovascular collapse and succumbed. At autopsy, Nocardia was cultured from multiple renal abscesses. The co-existence of Nocardia sepsis, systemic lupus erythematosus, autoimmune hepatitis and pregnancy are discussed. This case illustrates diagnostic challenges associated with Nocardia infection in the presence of co-existing disease.


2016 ◽  
Vol 68 (7) ◽  
pp. 995-1002 ◽  
Author(s):  
Doo-Ho Lim ◽  
Yong-Gil Kim ◽  
Danbi Lee ◽  
Soo Min Ahn ◽  
Seokchan Hong ◽  
...  

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