title: Solitary liver mass causing diagnostic dilemma in a case of lupus nephritis.
abstract: Diffuse proliferative lupus nephritis requires aggressive therapy. Patients with lupus nephritis may have concomitant hepatic involvement in the form of lesions that may be inflammatory or neoplastic in nature. In such situations, initiation of immuno-suppressive therapy may prove difficult without defining the nature of the lesion. This report describes the diagnostic dilemma that we encountered in a young patient with lupus nephritis who was discovered to have an incidental solitary liver mass on abdominal ultrasound. The literature of hepatic involvement in lupus is reviewed and discussed.
authors.affiliation: Department of Internal Medicine (Nephrology), Surgery, Hematology-Oncology and Pathology, University of Missouri Columbia, Columbia, MO 65212, USA.
authors.forename: Madhukar
authors.initials: M
authors.lastname: Misra
authors.forename: Boris W
authors.initials: BW
authors.lastname: Kuvshinoff
authors.forename: James
authors.initials: J
authors.lastname: Wooldridge
authors.forename: Alberto
authors.initials: A
authors.lastname: Diaz Arias
authors.forename: Runjhun
authors.initials: R
authors.lastname: Misra
authors.forename: Kurt
authors.initials: K
authors.lastname: Rider
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D003937:Diagnosis, Differential; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007150:Immunohistochemistry; D007166:Immunosuppressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008181:Lupus Nephritis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D018608:Ultrasonography, Doppler
chemical_list: D007166:Immunosuppressive Agents