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
Main Authors: Ishan Patel (Author), Rafael Ching Companioni (Author), Raghav Bansal (Author), Neil Vyas (Author), Carmine Catalano (Author), Joshua Aron (Author), Aaron Walfish (Author)
Format: Book
Published: Greater Baltimore Medical Center, 2016-12-01T00:00:00Z.
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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.
Item Description:2000-9666
10.3402/jchimp.v6.33342