Autoimmune hepatitis as initial presentation of Systemic Lupus Erythematosus.
- Author:
Sandra V. NAVARRA
;
Andrew DYSANGCO
;
Laniyati HAMIJOYO
- Publication Type:Journal Article, Original
- MeSH: Hepatitis, Autoimmune; Lupus Erythematosus, Systemic
- From: Philippine Journal of Internal Medicine 2009;47(2):89-92
- CountryPhilippines
- Language:English
-
Abstract:
Synopsis: this is the case of a 24 year old female with a strong family history of SLE who presented with autoimmune hepatitis and was eventually diagnosed to have SLE . Clinical presentation : two months history of intermittent jaundice , tea colored urine , anorexia easy fatigability pruritus, colicky right upper quadrant pain , intermittent diarrhea . Physical findings : Normal vital signs , fever of 38.8 degree C, jaundice facial and bipedal edema , some tenderness over the right upper abdomen no organomegaly. Significance : The case illustrates SLE presenting as automimmune hepatitis . Recommendations: SLE should be considered in hepatitis when viral etiology has been ruled out .