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Published on: February 3, 2012
Autoimmune hepatitis after COVID-19 infection
Alberto Pérez Ramírez1, Ignacio López Bueno1, José Manuel Sousa Martín1
1Aparato Digestivo, Hospital Universitario Virgen del Rocío, España.
A COVID-19 infection may trigger autoimmune hepatitis in adults. This case study highlights the potential link and effective treatment strategies for this condition.
Area of Science:
- Hepatology
- Immunology
- Infectious Diseases
Background:
- Acute hepatitis presentation in a 58-year-old male.
- Exclusion of biliary tract abnormalities via abdominal ultrasound.
- Recent history of COVID-19 infection (2 weeks prior).
Observation:
- Viral hepatitis was ruled out.
- Presence of autoantibodies confirmed.
- Liver biopsy revealed autoimmune hepatitis with grade 1 fibrosis.
Findings:
- Initial treatment with budesonide was ineffective.
- Switched to prednisone for acute management.
- Maintenance therapy included prednisone and azathioprine.
Implications:
- COVID-19 infection may serve as a potential trigger for autoimmune hepatitis.
- This case underscores the importance of considering autoimmune etiologies in post-viral hepatitis.
- Successful management involved corticosteroids and immunosuppressants.
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