Autoimmune Hepatitis-systemic Lupus Erythematosus Overlap Syndrome Diagnosed after Tapering Immunosuppressive Therapy / 계명의대학술지
Keimyung Medical Journal
;
: 44-49, 2016.
Article
in English
| WPRIM
| ID: wpr-121468
ABSTRACT
The differential diagnosis of systemic lupus erythematosus (SLE) and autoimmune hepatitis (AIH) is difficult due to the resemblance of these two disorders. However, the accurate diagnosis is important for prognosis and treatment that are different from each other. We report a case of AIH-SLE overlap syndrome which tapering of prednisone and azathioprine therapy deteriorated the condition of a patient due to flare up of SLE. The patient was a 28-year-old woman diagnosed as AIH. After administrations of prednisone and azathioprine, her condition was improved. During dose reduction, she was admitted to our hospital as fever and dyspnea. She diagnosed as lupus nephritis. After high dose treatment with corticosteroids and azathioprine, she recovered. Once the diagnosis of autoimmune disease such as SLE or AIH has been made, clinicians should also be fully aware of concomitant other autoimmune disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Autoimmune Diseases
/
Azathioprine
/
Lupus Nephritis
/
Prednisone
/
Adrenal Cortex Hormones
/
Hepatitis, Autoimmune
/
Diagnosis
/
Diagnosis, Differential
/
Dyspnea
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Keimyung Medical Journal
Year:
2016
Type:
Article
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