A case of idiopathic granulomatous hepatitis in an HIV-infected patient / 대한내과학회지
Korean Journal of Medicine
;
: 391-395, 2010.
Article
in Korean
| WPRIM
| ID: wpr-224539
ABSTRACT
Patients infected with human immunodeficiency virus (HIV) may develop various liver diseases, including viral hepatitis, granulomatous inflammation, malignancies, vascular disease, drug-induced hepatitis and, sometimes, diseases of unknown origin. In this case, a 35-year-old HIV-infected man presented with fatigue, myalgia, elevated liver enzymes, and multiple skin lesions for 3 months. Since the abdominal computed tomography (CT) and viral marker tests failed to explain the cause of his symptoms and signs, a liver biopsy was performed. This revealed a granuloma consisting of epithelioid cells without necrosis. His symptoms, skin lesions, and abnormal liver enzymes improved without changing his management, including the anti-retroviral agents. He was diagnosed with idiopathic granulomatous hepatitis based on the pathologic findings of the liver and clinical course. Aggressive diagnostic methods, such as a liver biopsy, should be considered for HIV-infected patients with liver disease.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Vascular Diseases
/
Biopsy
/
Biomarkers
/
Epithelioid Cells
/
HIV
/
Anti-Retroviral Agents
/
Fatigue
/
Chemical and Drug Induced Liver Injury
/
Granuloma
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2010
Type:
Article
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