|
KMID : 0882420100780030391
|
|
Korean Journal of Medicine
2010 Volume.78 No. 3 p.391 ~ p.395
|
|
|
A case of idiopathic granulomatous hepatitis in an HIV-infected patient
|
|
Song Se-Bin
Moon Song-Mi
Cho Chang-Hyun
Hwang Yeon-Hee
Lim Hyo-Seok
Son Jun-Seong
Lee Mi-Suk
|
|
|
Abstract
|
|
|
|
Patients infected with human immunodeficiency virus (HIV) may develop various liver diseases, including viral hepatitis, granulomatous inflammation, malignancies, vascular disease, drug-induced hepatitis and, sometimes, diseases of unknown origin. In this case, a 35-year-old HIV-infected man presented with fatigue, myalgia, elevated liver enzymes, and multiple skin lesions for 3 months. Since the abdominal computed tomography (CT) and viral marker tests failed to explain the cause of his symptoms and signs, a liver biopsy was performed. This revealed a granuloma consisting of epithelioid cells without necrosis. His symptoms, skin lesions, and abnormal liver enzymes improved without changing his management, including the anti-retroviral agents. He was diagnosed with idiopathic granulomatous hepatitis based on the pathologic findings of the liver and clinical course. Aggressive diagnostic methods, such as a liver biopsy, should be considered for HIV-infected patients with liver disease.
|
|
|
KEYWORD
|
|
|
Human immunodeficiency virus, Granuloma, Hepatitis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|