Acute hepatitis E presenting with clinical feature of autoimmune hepatitis

A 32-year-old immigrant man presented with new onset jaundice. His past medical history was significant for type 2 diabetes mellitus, hypertension, and hyperlipidemia. His initial laboratory finding and liver biopsy were suggestive of autoimmune hepatitis (AIH). The plan was to start steroids pendin...

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Bibliographic Details
Published in:Journal of community hospital internal medicine perspectives 2016-12, Vol.6 (6), p.33342-3
Main Authors: Patel, Ishan, Ching Companioni, Rafael, Bansal, Raghav, Vyas, Neil, Catalano, Carmine, Aron, Joshua, Walfish, Aaron
Format: Article
Language:English
Subjects:
Alcohol use
autoimmune hepatitis
Biopsy
Case Report
Case reports
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Family medical history
Gallbladder diseases
Hepatitis
Hepatitis A
hepatitis E
hepatitis serologies
Hospitals
Hyperlipidemia
Hypertension
IAIHG
Immigrants
Immunoglobulins
Infections
Jaundice
Liver
Medical laboratories
Patients
Serology
Steroid hormones
Steroids
transaminitis
Viral infections
Viruses
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Summary:A 32-year-old immigrant man presented with new onset jaundice. His past medical history was significant for type 2 diabetes mellitus, hypertension, and hyperlipidemia. His initial laboratory finding and liver biopsy were suggestive of autoimmune hepatitis (AIH). The plan was to start steroids pending negative results for viral serology, but it came back positive for hepatitis E virus. The patient's liver function test and clinical condition improved significantly on conservative management over a period of 1 month. Therefore, we suggest testing for hepatitis E especially in immigrants or recent travelers to endemic areas who presents with clinical features suggestive of AIH.
ISSN:2000-9666
2000-9666
DOI:10.3402/jchimp.v6.33342