Development of autoimmune hepatitis in a psoriasis patient without immunosuppressive therapy

Clin Mol Hepatol. 2017 Jun;23(2):184-187. doi: 10.3350/cmh.2016.0035. Epub 2017 May 8.

Abstract

We present a case of a 65-year-old man with psoriasis who developed autoimmune hepatitis (AIH) without receiving immunosuppressive therapy with either anti-tumor necrosis factor-α or methotrexate. The AIH had completely resolved at 2 months after prednisolone and azathioprine therapy. This case confirms the need to consider AIH in psoriasis patients who experience new elevations in liver enzymes. To our knowledge, this is first description of the development of AIH in an immunosuppressant-naïve patient with psoriasis.

Keywords: Autoimmune hepatitis; Psoriasis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Alanine Transaminase / analysis
  • Aspartate Aminotransferases / analysis
  • Azathioprine / therapeutic use
  • Drug Therapy, Combination
  • Hepatitis, Autoimmune / complications
  • Hepatitis, Autoimmune / diagnosis
  • Hepatitis, Autoimmune / drug therapy*
  • Humans
  • Immunosuppressive Agents / therapeutic use*
  • Liver / enzymology
  • Liver / pathology
  • Male
  • Prednisolone / therapeutic use
  • Psoriasis / complications
  • Psoriasis / diagnosis*
  • Psoriasis / drug therapy
  • Skin / pathology

Substances

  • Immunosuppressive Agents
  • Prednisolone
  • Aspartate Aminotransferases
  • Alanine Transaminase
  • Azathioprine