A Case of Hepatic Inflammatory Pseudotumor Occurred in a Patient with Lupus Nephritis
Journal of Rheumatic Diseases
; : 137-141, 2019.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-766170
Biblioteca responsável:
WPRO
ABSTRACT
Systemic lupus erythematosus (SLE) is a systemic autoimmune disease affecting various organs. Among its manifestations, inflammatory pseudotumor (IPT) is an extremely rare disease about which no case has been reported of it occurring in the liver. We present a case of a SLE patient with hepatic IPT (hIPT) successfully treated with immunosuppressants. A 16-year-old male with elevated liver enzymes visited our clinic and was diagnosed as SLE. Although no lesion was observed in the initial abdomen ultrasonography, the abdominal CT on hospital day 7 revealed a new hepatic mass resembling an abscess. Despite 5 weeks of antibiotics treatment, the hepatic mass remained, and was re-diagnosed as hIPT secondary to SLE with an abdominal MRI. After high dose prednisolone and mycophenolate mofetil treatment, lupus activity subsided and hIPT disappeared in the follow-up CT. This case suggests that hIPT should be considered as a differential diagnosis among hepatic mass in SLE patients.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Plasmócitos
/
Doenças Autoimunes
/
Nefrite Lúpica
/
Prednisolona
/
Imageamento por Ressonância Magnética
/
Tomografia Computadorizada por Raios X
/
Seguimentos
/
Ultrassonografia
/
Doenças Raras
/
Diagnóstico Diferencial
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of Rheumatic Diseases
Ano de publicação:
2019
Tipo de documento:
Artigo