医学
自身免疫性肝炎
肝损伤
系统性红斑狼疮
肝病
原发性胆汁性肝硬化
肝炎
免疫学
脂肪肝
肝硬化
全身性疾病
红斑狼疮
鉴别诊断
疾病
内科学
病理
免疫病理学
抗体
作者
Alok Kumar Singh,Venkatesh Vaithiyam,Ujjwal Sonika,Surbhi Goyal
标识
DOI:10.1016/j.jceh.2023.101339
摘要
Systemic lupus erythematosus (SLE) is a common multisystem disease characterised by a wide variety of presentation patterns and complex manifestations. As a lymphoid organ, the liver plays an important role in the immune response and is a target of autoimmune responses (1). SLE can affect the liver in approximately 25 – 60% of patients during their disease course (2,3). Liver dysfunction and SLE can present with complicated differential diagnoses. Liver dysfunction in SLE is usually mild and rarely leads to advanced liver diseases such as cirrhosis and liver failure (4,5). Liver dysfunction in SLE is usually caused by non-SLE-related causes such as drug toxicity, fatty liver, alcoholism, and associated autoimmune hepatitis. However, primary liver involvement in SLE is also well-recognised. Patients with SLE who present with acute liver failure are rare. We report a rare case of SLE-associated acute severe liver injury along with a literature review.
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