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Updated: Feb 16, 2026

Histological Analyses of Acute Alcoholic Liver Injury in Zebrafish
Published on: May 25, 2017
Granulomatosis with polyangiitis: an unusual cause of acute liver injury
David Owen Rees1, Anu Gunavardhan2, David Andrew Glover3
1Nephrology and Transplant Department, Cardiff and Vale University Health Board, Cardiff, UK.
Abstract:
Granulomatosis with polyangiitis (GPA) causing liver injury is rare. Where liver biopsies have been taken findings are not always typical and diagnosis can be challenging. Here, we present a case of a 58-year-old male who on admission to hospital was found to have acute liver injury. Diagnosis of liver involvement in GPA is supported by liver histology and the resolution of hepatitis after commencement of immunosuppressive treatment.
Insights
Granulomatosis with polyangiitis (GPA) rarely causes liver injury. This case highlights how liver biopsy and immunosuppressive treatment can diagnose and manage GPA-related hepatitis.
Area of Science:
- Hepatology
- Rheumatology
- Pathology
Background:
- Granulomatosis with polyangiitis (GPA) is a rare autoimmune vasculitis.
- Liver injury is an uncommon manifestation of GPA.
- Diagnosing GPA-induced liver damage can be challenging due to atypical histology.
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