A 32-year-old immigrant man presented with new onset jaundice. His past medical history was significant for type 2 diabetes mellitus, hypertension, and hyperlipidemia. His initial laboratory finding and liver biopsy were suggestive of autoimmune hepatitis (AIH). The plan was to start steroids pending negative results for viral serology, but it came back positive for hepatitis E virus. The patient's liver function test and clinical condition improved significantly on conservative management over a period of 1 month. Therefore, we suggest testing for hepatitis E especially in immigrants or recent travelers to endemic areas who presents with clinical features suggestive of AIH.
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BronxCare Hlth Syst, Internal Med, Icahn Sch Med Mt Sinai, New York, NY 10128 USABronxCare Hlth Syst, Internal Med, Icahn Sch Med Mt Sinai, New York, NY 10128 USA
Altaf, Faryal
Qureshi, Zaheer A.
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Quinnipiac Univ, Frank H Netter MD Sch Med, Internal Med, North Haven, CT USABronxCare Hlth Syst, Internal Med, Icahn Sch Med Mt Sinai, New York, NY 10128 USA
Qureshi, Zaheer A.
Kandhi, Sameer
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BronxCare Hlth Syst, Internal Med, New York, NY USABronxCare Hlth Syst, Internal Med, Icahn Sch Med Mt Sinai, New York, NY 10128 USA
Kandhi, Sameer
Khaja, Misbahuddin
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BronxCare Hlth Syst, Internal Med Pulm Crit Care, Icahn Sch Med Mt Sinai, New York, NY USABronxCare Hlth Syst, Internal Med, Icahn Sch Med Mt Sinai, New York, NY 10128 USA