Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association

A woman in her early 40s, with a history of excessive alcohol intake, presented with purpuric, ulcerative lesions on the lower limbs. On examination, hirsutism and generalized stiffening and thickening of the skin were noted. Laboratory investigations revealed hyperbilirubinemia, hypergammaglobuline...

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Main Authors: Elisabete Pereira Coelho, Ana Rita Matos, Sofia Caridade
Format: Article
Language:English
Published: SMC MEDIA SRL 2019-12-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1352
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author Elisabete Pereira Coelho
Ana Rita Matos
Sofia Caridade
author_facet Elisabete Pereira Coelho
Ana Rita Matos
Sofia Caridade
author_sort Elisabete Pereira Coelho
collection DOAJ
description A woman in her early 40s, with a history of excessive alcohol intake, presented with purpuric, ulcerative lesions on the lower limbs. On examination, hirsutism and generalized stiffening and thickening of the skin were noted. Laboratory investigations revealed hyperbilirubinemia, hypergammaglobulinemia and positive anti-smooth muscle antibodies. Histologic examination of the skin was compatible with scleroderma. Histologic examination of the liver was suggestive of autoimmune and alcoholic hepatitis.
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spelling doaj.art-922ce329683c46fda1c5a465c7ac21812022-12-22T00:44:54ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942019-12-0110.12890/2019_0013521352Autoimmune Hepatitis and Systemic Sclerosis: a Rare AssociationElisabete Pereira Coelho0Ana Rita Matos1Sofia Caridade2Unidade de Cuidados Intensivos Polivalente, Hospital de Braga, Braga, PortugalServiço de Medicina Interna, Hospital de Braga, Braga, PortugalServiço de Medicina Interna, Hospital de Braga, Braga, PortugalA woman in her early 40s, with a history of excessive alcohol intake, presented with purpuric, ulcerative lesions on the lower limbs. On examination, hirsutism and generalized stiffening and thickening of the skin were noted. Laboratory investigations revealed hyperbilirubinemia, hypergammaglobulinemia and positive anti-smooth muscle antibodies. Histologic examination of the skin was compatible with scleroderma. Histologic examination of the liver was suggestive of autoimmune and alcoholic hepatitis.https://www.ejcrim.com/index.php/EJCRIM/article/view/1352autoimmune hepatitissystemic sclerosisalcoholic hepatitis
spellingShingle Elisabete Pereira Coelho
Ana Rita Matos
Sofia Caridade
Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
European Journal of Case Reports in Internal Medicine
autoimmune hepatitis
systemic sclerosis
alcoholic hepatitis
title Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
title_full Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
title_fullStr Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
title_full_unstemmed Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
title_short Autoimmune Hepatitis and Systemic Sclerosis: a Rare Association
title_sort autoimmune hepatitis and systemic sclerosis a rare association
topic autoimmune hepatitis
systemic sclerosis
alcoholic hepatitis
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1352
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AT sofiacaridade autoimmunehepatitisandsystemicsclerosisarareassociation