“…However, this cause was related to the activity of lupus in 8% of the cases,3 and the majority of biochemical abnormalities seen in these studies were usually secondary to other causes such as drug-induced liver dysfunction, alcohol, liver congestion from congestive heart failure, infection or metabolic disturbances. Hepatomegaly (39% to 42%) and jaundice (24%) were often seen at the onset of liver disease 12. Various forms of hepatic pathology related to SLE have been described, and they include fatty liver,24 portal inflammation,2 chronic active hepatitis,12 chronic persistent hepatitis,14 cirrhosis,1 cholestasis,14 hepatic necrosis associated with antiphospholipid antibody syndrome,5 granulomatous hepatitis,1 non-specific reactive hepatitis,4 nodular regenerative hyperplasia,4 hepatic infarction4 and arteritis 467…”