Lupus hepatitis is a rare manifestation of systemic lupus erythematosus. When present, it manifests as frustrating clinical signs and moderate disturbance of liver function. We describe a case of lupus hepatitis revealed by massive epistaxis secondary to hepatocellular failure in a 35-year-old female patient whose diagnosis of lupus was made secondarily. Management consisted of azathioprine and corticosteroids, with good resolution of clinical and laboratory signs.
El Ghazali, R., Jabbouri, R., Moudatir, M., Echchilali, K., Alaoui, F. and El Kabli, H. (2013) Hépatite lupique: 18 cas. LaRevuedeMédecineInterne, 34, A115. https://doi.org/10.1016/j.revmed.2013.03.074
[3]
Rodriguez, V.E. and Costas, P. (2008) Systemic Lupus Erythematosus Presenting as Acute Iceric Hepatitis: A Case Report. Boletin Asociacion Medica de Puerto Rico, 100, 54-57.
[4]
Afzal, W., Haghi, M., Hasni, S. and Newman, K. (2020) Lupus Hepatitis, More than Just Elevated Liver Enzymes. ScandinavianJournalofRheumatology, 49, 427-433. https://doi.org/10.1080/03009742.2020.1744712
[5]
Said, F., Naceur, I., Ben Achour, T., Jridi, M., Lamloum, M., Ben Ghorbel, I., etal. (2024) Atteinte hépatique au cours du lupus érythémateux systémique. LaRevuedeMédecineInterne, 45, A194. https://doi.org/10.1016/j.revmed.2024.04.117
[6]
De-Almeida-Chaves, S., Pugnet, G., Moulis, G., Astudillo, L., Thiercelin-Legrand, M.-F., Arlet, P., et al. (2016) Hépatite lupique: Réponse inattendue au bélimumab. Première observation. La Revue de Médecine Interne, 37, A241-A242. https://doi.org/10.1016/j.revmed.2016.10.331
