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Coexistence of human immunodeficiency virus infection and autoimmune hepatitis: A double trouble

A wide spectrum of hepatobiliary manifestations occur in Human Immunodeficiency Virus (HIV)-infected patients. Among the common causes are the infectious hepatitis, drug-related hepatitis, opportunistic infections, non-alcoholic steatohepatitis, HIV cholangiopathy and neoplasm. Auto-immune hepatitis...

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Bibliographic Details
Published in:Indian journal of sexually transmitted diseases and AIDS 2023, Vol.44 (1), p.66-68
Main Authors: Manrai, Manish, Vashisht, Rohit, Arivalagan, Balakrishnan, Baveja, Puneet, Kashif, Ahmed Waheed, Menon, Anil
Format: Report
Language:English
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Summary:A wide spectrum of hepatobiliary manifestations occur in Human Immunodeficiency Virus (HIV)-infected patients. Among the common causes are the infectious hepatitis, drug-related hepatitis, opportunistic infections, non-alcoholic steatohepatitis, HIV cholangiopathy and neoplasm. Auto-immune hepatitis (AIH) is rarely reported in this setting. We present two different presentations of auto immune hepatitis in HIV positive patients. One developed jaundice and ascites as a consequence of liver decompensation and other exhibited cholestatic pattern. Their serology and liver biopsy confirmed autoimmune hepatitis as underlying aetiology. We would like to share the clinical improvement with simultaneous immunosuppressive therapy and combination Anti Retroviral Therapy (cART). There are no documented cases on this issue from the Indian subcontinent that we are aware of.
ISSN:2589-0565
DOI:10.4103/ijstd.ijstd_73_22