Case of autoimmune hepatitis with overlap systemic lupus erythematosus

被引：1

作者：

Goyes, Daniela ^{[1
]}

Malladi, Vijayram R. ^{[2
]}

Ishtiaq, Rizwan ^{[3
]}

Al-Khazraji, Ahmed ^{[4
]}

机构：

[1] Beth Israel Deaconess Med Ctr, Gastroenterol & Hepatol, Boston, MA 02215 USA

[2] Univ Kansas, Sch Med, Internal Med, Wichita, KS 67214 USA

[3] Mercy St Vicent Med Ctr, Internal Med, Toledo, OH USA

[4] Icahn Sch Med Mt Sinai Elmhurst Hosp, Gastroenterol & Hepatol, New York, NY USA

来源：

BMJ CASE REPORTS | 2020年 / 13卷 / 12期

关键词：

liver disease; rheumatology; DIAGNOSIS; ASSOCIATION;

D O I：

10.1136/bcr-2020-237341

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：4

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