Original Research Article
Year: 2022 | Month: January | Volume: 12 | Issue: 1 | Pages: 92-98
DOI: https://doi.org/10.52403/ijhsr.20220113
Autoimmune Hepatitis and Primary Biliary Cholangitis Overlap in a Patient with Systemic Lupus Erythematosus and Rheumatoid Arthritis Overlap (Rhupus) -An Unusual Association
Anu Yarky1, Priyesh Sharma1, Vipan Kumar2, Nidhi Chauhan1, Priyanka Perasamy1
1Department of Medicine, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh
2Department of Orthopaedics, Dr. Rajendra Prasad Government Medical College, Tanda, Kangra, Himachal Pradesh
Corresponding Author: Anu Yarky
ABSTRACT
The diagnosis of overlap syndrome involving systemic lupus erythematosus (SLE) and autoimmune hepatitis (AIH) isn’t easily established due to its similar clinical presentations and biochemical features to those of lupus hepatitis. The term overlap syndrome is typically utilized in the context of overlap of autoimmune hepatitis with PSC (primary sclerosing cholangitis) or PBC (primary biliary cholangitis). Few rare cases of AIH complicated by SLE are reported within the literature. Overlapping of SLE and AIH should be suspected when patients with SLE have abnormal liver function tests or AIH patients present with a rash. Liver biopsy plays a really important role in establishing the medical diagnosis of SLE with liver impairment or overlap with AIH. The prompt diagnosis and adequate treatment plan can improve the disease outcome.
Key words: autoimmune hepatitis, primary biliary cholangitis, systemic lupus erythematosus, overlap syndrome.