Yoon Jang Uk, Park Sang Hoon, Kim Eun Jung, Hong Ji Hyun, Lee Hyung Seok, Oh Kil Chan, Park Chul Hee, Hahn Tae Ho, Lee Dong Keun, Kim Jong Hyeok, Park Hae Lim, Park Choong Kee
Hallym University, College of Medicine, Anyang, Korea.
Taehan Kan Hakhoe Chi. 2003 Sep;9(3):231-5.
Autoimmune hepatitis (AIH) is a chronic necroinflammatory liver disease of unknown cause associated with circulating autoantibodies and high serum globulin level. Systemic lupus erythematosus (SLE) is a disease of unknown etiology in which tissues and cells are damaged by pathogenic autoantibodies and immune complex, affecting multiple organs including the liver, kidney, and CNS. The difference between the hepatic involvement of SLE and autoimmune hepatitis has not been clearly defined in the past due to similarities in clinical and biochemical features. A scoring system for the diagnosis of AIH has been established, and AIH and SLE-associated hepatitis have been defined as two different entities, although both have the same autoimmune features such as polyarthralgia, hypergammaglobulinemia and circulating autoantibodies. AIH has been considered to occur infrequently in SLE. We report two cases of AIH which simultaneously satisfied the criteria of SLE.
自身免疫性肝炎(AIH)是一种病因不明的慢性坏死性炎症性肝病,与循环自身抗体和高血清球蛋白水平相关。系统性红斑狼疮(SLE)是一种病因不明的疾病,其中组织和细胞被致病性自身抗体和免疫复合物损伤,影响包括肝脏、肾脏和中枢神经系统在内的多个器官。由于临床和生化特征相似,过去SLE肝脏受累与自身免疫性肝炎之间的差异尚未明确界定。尽管AIH和SLE相关肝炎都具有多关节痛、高球蛋白血症和循环自身抗体等相同的自身免疫特征,但已建立了AIH诊断评分系统,且AIH和SLE相关肝炎已被定义为两种不同的实体。AIH被认为在SLE中很少发生。我们报告了两例同时符合SLE标准的AIH病例。