Asian Journal of Internal Medicine (Aug 2023)
Autoimmune hepatitis overlapping with subacute cutaneous lupus erythematosus: A case report
Abstract
Autoimmune hepatitis (AIH) is an autoimmune liver disorder which rarely coexists with systemic lupus erythematosus (SLE) and presents as an overlap syndrome affecting multiple organs. Herein, we report a case of a 35-year-old healthy male who was evaluated for bilateral leg oedema and was diagnosed with AIH 5 years back. Four years later he developed fever and multiple photosensitive skin rashes, worsening leg oedema and proteinuria to which a diagnosis of coexisting SLE was made. He was diagnosed with the rare entity of AIH subacute cutaneous lupus erythematosus overlap syndrome. He was medically managed with immunosuppressive medication to which he responded.
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