title: Sarcoidosis accompanied by systemic lupus erythematosus and autoimmune hepatitis.
abstract: A 52-year-old woman was admitted to our hospital for further examination of blurred vision, abnormal lung shadows and an elevated level of angiotensin-converting enzyme. Sarcoidosis was suspected, however, careful history taking revealed the existence of photosensitivity and polyarthralgia. Laboratory tests showed lymphocytopenia, liver dysfunction, hypergammaglobulinemia, and positive anti-nuclear, anti-double stranded DNA and anti-smooth muscle antibodies. Liver biopsy examination showed chronic active hepatitis. She was diagnosed with the triplex of sarcoidosis, systemic lupus erythematosus and autoimmune hepatitis. Marked improvement was noted after corticosteroid therapy.
authors.affiliation: Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki.
authors.forename: Seiko
authors.initials: S
authors.lastname: Nakayama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mukae
authors.forename: Tomohito
authors.initials: T
authors.lastname: Morisaki
authors.forename: Noriho
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Kazuo
authors.initials: K
authors.lastname: Ohba
authors.forename: Koh
authors.initials: K
authors.lastname: Abe
authors.forename: Fuminao
authors.initials: F
authors.lastname: Takeshima
authors.forename: Yohei
authors.initials: Y
authors.lastname: Mizuta
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ida
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Ozono
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001323:Autoantibodies / Q000097:blood; D001706:Biopsy; D005260:Female; D019693:Hepatitis, Autoimmune / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008099:Liver / Q000473:pathology; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis
chemical_list: D000305:Adrenal Cortex Hormones; D001323:Autoantibodies