Sarcoidosis accompanied by systemic lupus erythematosus and autoimmune hepatitis.
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.
Nakayama
Seiko
S
Second Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki.
Mukae
Hiroshi
H
Morisaki
Tomohito
T
Sakamoto
Noriho
N
Ohba
Kazuo
K
Abe
Koh
K
Takeshima
Fuminao
F
Mizuta
Yohei
Y
Ida
Hiroaki
H
Ozono
Yoshiyuki
Y
Kohno
Shigeru
S
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
D000305:Adrenal Cortex Hormones; D001323:Autoantibodies