Clinical Image: Perihepatitis in systemic lupus erythematosus

Kane, Barry; Gibson, Kathryn A.

doi:10.1002/art.27309

Cited by 9 publications

(2 citation statements)

References 3 publications

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“…Perihepatitis is rarely described as a manifestation of SLE ( 4 - 6 ). In four previous cases published in the English literature, all patients presented with abdominal pain in the right upper quadrant and showed enhancement in the rim of the right lobe of the liver on contrast-enhanced CT ( Table ) ( 4 - 6 ). However, our patient also presented with a fever.…”

Section: Discussionmentioning

confidence: 99%

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Perihepatitis as an Initial Manifestation of Systemic Lupus Erythematosus

et al. 2024

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A 25-year-old man presented with a fever and right upper quadrant abdominal pain. Computed tomography (CT) of the abdomen revealed diffuse perihepatic capsular enhancement, suggesting perihepatitis. Although the patient was a man, Fitz-Hugh-Curtis syndrome was suspected based on the CT findings. Treatment with several antibiotics was ineffective. Urinary tract infection was ruled out due to negative urinary bacterial screening and careful history taking. He was finally diagnosed with systemic lupus erythematous (malar rash, pleuritis, positive antinuclear antibody, and positive anti-ds-DNA antibody). Perihepatitis resolved quickly with high-dose prednisolone. Perihepatitis may be the first manifestation of SLE.

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Section: Discussionmentioning

confidence: 99%

“…Perihepatitis has rarely been reported in patients with SLE ( 4 - 6 ), especially in men ( 6 ). We herein report a case of perihepatitis in a man with SLE as an initial manifestation.…”

Section: Introductionmentioning

confidence: 99%