Year 2022 / Volume 114 / Number 1
Letter
Autoimmune hepatitis triggered by COVID-19

64-65

DOI: 10.17235/reed.2021.8045/2021

Cristina Montón Rodríguez, Pablo Navarro Cortés, Paloma Lluch García, Miguel Mínguez Pérez,

Abstract
We present the case of a 60-year-old female with no drug allergies or toxic habits, with hypothyroidism, and receiving treatment with levothyroxine. She was admitted in February 2021 and presented with choluria of 72 hours duration; there were no abdominal or respiratory clinical symptoms, and no related fever. Medical examination findings included mucocutaneous jaundice and a recorded oxygen saturation of 97 % in ambient air. There was a notable pattern of cytolysis compatible with acute hepatitis, and no history hepatotoxic drugs. Screening was performed for acute hepatitis in addition to serology testing, determination of autoantibodies and immunoglobulins, a PCR test for COVID, and a radiologic study.
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References
1. Jothimani D, Venugopal R, Forhad Abedin M, et al. COVID 19 and the Liver. J Hepatol 2020;73(5):1231-40.
2. Garrido I, Liberal R, Macedo G. Review article: COVID‐19 and liver disease—what we know on 1st May 2020. Aliment Pharmacol Ther 2020;52(2):267-75. DOI: 10,111/apt15813
3. Ampuero J, Sánchez Y, Garcia-Lozano MR, et al. Impact of liver injury on the severity of COVID-19: a systematic review with meta-analysis. Rev Esp Enferm Dig 2021;113(2):125-35.
4. Rajendiran G, Cowman B, Erickson K, et al. Autoimmune Hepatitis Associated with COVID-19 Infection - A Diagnostic and Therapeutic Dilemma. S D Med 2020;73(11):528-32.
5. Signh B, Kaur P, Maroules M. Autoinmmne hepatitis – Primary Biliary Cholangitis Overlap Syndrome Triggered by Covid 19. Eur J Case Rep Intern Med 2021;8(3):002264. DOI: 10.12890/2021_002264
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Montón Rodríguez C, Navarro Cortés P, Lluch García P, Mínguez Pérez M. Autoimmune hepatitis triggered by COVID-19. 8045/2021


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Publication history

Received: 16/04/2021

Accepted: 08/05/2021

Online First: 21/05/2021

Published: 10/01/2022

Article revision time: 16 days

Article Online First time: 35 days

Article editing time: 269 days


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