Autoimmune hepatitis: diagnosis after preeclampsia-induced elevated liver enzymes failed to normalize postpartum.
BACKGROUND
Pregnancy can unmask underlying medical conditions, as evidenced by laboratory abnormalities that do not resolve postpartum.


METHODS
A woman developed preeclampsia associated with elevated hepatic transaminases and serum creatinine. When her liver enzymes failed to normalize 8 weeks postpartum an evaluation led to the diagnosis of type III autoimmune hepatitis.


CONCLUSIONS
Obstetricians should consider confirming resolution of laboratory abnormalities attributed to preeclampsia by the 6-week postpartum visit. Abnormalities that persist warrant an evaluation to exclude chronic medical conditions.
Department of Medicine, Saint Peter's University Hospital, University of Medicine & Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, New Jersey 08903, USA. mcarson@saintpetersuh.com
Michael P
MP
Carson
John C
JC
Smulian
Boris
B
Fedorciw
D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D003404:Creatinine / Q000097:blood; D005260:Female; D019693:Hepatitis, Autoimmune / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D049590:Postpartum Period; D011225:Pre-Eclampsia / Q000097:blood / Q000150:complications*; D011247:Pregnancy
D003404:Creatinine; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase