Autoimmune Hepatitis as Initial Presentation of Systemic Lupus Erythematosus

Abstract

Laboratory work up: hemoglobin of 72g/L, Serum bilirubin 26.4U/L, ALT 281U/L, AST 355U/L, alkaline phosphatase 275U/L, albumin 2.9mg/dL, globulin 4.2mg/dL. C3 0.62g/L, negative serology for viral hepatitis, urinalysis: urine protein 3+ (0.9g/24hours), RBC loaded/hpf, WBC 4-8/hpf, hyaline and granular casts. ANA 1:2560 speckled, anti-dsDNA 34.3IU/ml, moderately positive anti-Ro/SSA, anti-cardiolipin antibodies-negative.