Journal
WORLD JOURNAL OF GASTROENTEROLOGY
Volume 14, Issue 35, Pages 5474-5477Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.14.5474
Keywords
multiple sclerosis; autoimmune hepatitis; pulsed methylprednisolone
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A 43-year-old woman with multiple sclerosis (MS) was treated with pulsed methylprednisolone and interferon beta at a hospital. Four weeks after initiating treatment, liver dysfunction occurred and she was referred and admitted to our hospital. Clinical and laboratory findings were consistent with and fulfilled the criteria for drug-induced hepatitis, but not for autoimmune hepatitis (AIH). She was successfully treated with corticosteroids. As ataxia developed after 1 year, she was treated with pulsed methylprednisolone for 3 days, then readmitted to our hospital when liver dysfunction occurred. Clinical and laboratory findings led to the diagnosis of AIH. To the best of our knowledge, this is the second case of AIH developed after pulsed methylprednisolone for MS. (C) 2008 The WJG Press. All rights reserved.
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