关键词： ACR, American College of Rheumatology AIH, Autoimmune Hepatitis ALP, Alkaline Phosphatase ALT, Alanine Transaminase ANA, Antinuclear Antibody AST, Aspartate Transaminase DILI, Drug-induced Liver Injury HAV, Hepatitis A Virus HEV, Hepatitis E Virus MRCP, Magnetic Resonance Cholangiopancreatography PBC, Primary Biliary Cholangitis PSC, Primary Sclerosing Cholangitis SLE, Systemic Lupus Erythematosus TLC, Total Leucocyte Count acute hepatitis ds DNA, Double-stranded DNA immunosuppressive agents lupus hepatitis lupus nephritis systemic lupus erythematous

来  源：   DOI：10.1016/j.jceh.2020.05.009   PDF(Sci-hub)   PDF(Pubmed)

Abstract：
Hepatic involvement in systemic lupus erythematosus (SLE) is common but described infrequently. Liver is usually never the primary organ to be affected in lupus. Again hepatic involvement probably does not carry much prognostic importance though it may correlate with lupus activity. We here report a case of 21-year-old man with no prior comorbidity or addiction who presented to us with acute hepatic illness with jaundice. He also had malar rash and arthralgia. Viral markers were negative. Antinuclear antibody and anti-double-stranded DNA (dsDNA) were strongly positive. Liver biopsy was consistent with autoimmune hepatitis, whereas skin biopsy was suggestive of SLE. He had a brisk and complete recovery with prompt use of immunosuppressive agents (corticosteroids and azathioprine). Cyclophosphamide was started latter in view of lupus nephritis. This is probably the fourth reported case of SLE presenting as acute hepatic illness with jaundice.
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