Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus

Clinical and radiological liver diseases are uncommon in patients with systemic lupus erythematosus (SLE). We report a 29-year-old female with SLE who presented with right upper quadrant abdominal pain, thrombocytopenia, elevated liver enzymes and multiple hypodense lesions in the liver on a compute...

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Main Authors: Alanazi Thari, Alqahtani Mohammad, Al Duraihim Huda, Al Khathlan Khalid, Al Ahmari Bader, Makanjuola Dorothy, Afzal Mohammad
Format: Article
Language:English
Published: King Faisal Specialist Hospital and Research Centre 2009-01-01
Series:Annals of Saudi Medicine
Online Access:http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=6;spage=474;epage=477;aulast=Alanazi
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author Alanazi Thari
Alqahtani Mohammad
Al Duraihim Huda
Al Khathlan Khalid
Al Ahmari Bader
Makanjuola Dorothy
Afzal Mohammad
author_facet Alanazi Thari
Alqahtani Mohammad
Al Duraihim Huda
Al Khathlan Khalid
Al Ahmari Bader
Makanjuola Dorothy
Afzal Mohammad
author_sort Alanazi Thari
collection DOAJ
description Clinical and radiological liver diseases are uncommon in patients with systemic lupus erythematosus (SLE). We report a 29-year-old female with SLE who presented with right upper quadrant abdominal pain, thrombocytopenia, elevated liver enzymes and multiple hypodense lesions in the liver on a computed tomography (CT) study that mimicked multiple liver abscesses. A liver biopsy showed mild chronic inflammation. Culture results were negative. With steroid therapy the patient improved clinically, the platelet count returned to the normal range and the multiple liver lesions disappeared radiologicaly. This patient represents a rare case of SLE that had hepatic vasculitis mimicking multiple liver abscesses.
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spelling doaj.art-b61606e133b947bbae5385998429e4b22022-12-21T20:03:03ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662009-01-01296474477Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosusAlanazi ThariAlqahtani MohammadAl Duraihim HudaAl Khathlan KhalidAl Ahmari BaderMakanjuola DorothyAfzal MohammadClinical and radiological liver diseases are uncommon in patients with systemic lupus erythematosus (SLE). We report a 29-year-old female with SLE who presented with right upper quadrant abdominal pain, thrombocytopenia, elevated liver enzymes and multiple hypodense lesions in the liver on a computed tomography (CT) study that mimicked multiple liver abscesses. A liver biopsy showed mild chronic inflammation. Culture results were negative. With steroid therapy the patient improved clinically, the platelet count returned to the normal range and the multiple liver lesions disappeared radiologicaly. This patient represents a rare case of SLE that had hepatic vasculitis mimicking multiple liver abscesses.http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=6;spage=474;epage=477;aulast=Alanazi
spellingShingle Alanazi Thari
Alqahtani Mohammad
Al Duraihim Huda
Al Khathlan Khalid
Al Ahmari Bader
Makanjuola Dorothy
Afzal Mohammad
Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
Annals of Saudi Medicine
title Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
title_full Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
title_fullStr Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
title_full_unstemmed Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
title_short Hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
title_sort hepatic vasculitis mimicking liver abscesses in a patient with systemic lupus erythematosus
url http://www.saudiannals.net/article.asp?issn=0256-4947;year=2009;volume=29;issue=6;spage=474;epage=477;aulast=Alanazi
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