[Autoimmune hepatitis and dermatomyositis: a rare association].
The association between autoimmune hepatitis and idiopathic inflammatory myopathies has been rarely described in literature. To our knowledge, there are only five reports of autoimmune hepatitis, all coursing with polymyositis. In the present work, we describe a female patient at the age of 58 with cutaneous lesions (heliotrope), progressive proximal muscle weakness of four limbs and constitutional symptoms for 12 months, and worsened two months ago. She had also been episodes of jaundice for five months. During hospitalization, after intense clinical investigation, the diagnosis of dermatomyositis and autoimmune hepatitis were defined, and the patient had a good clinical and laboratory response to corticosteroids and immunosuppressive.
Médicos assistentes do Serviço de Reumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo.
Fernando Henrique Carlos
FH
de Souza
Thiago Bitar Moraes
TB
Barros
Mariana Teichner
MT
de Moraes
Larissa Sayuri
LS
Missumi
Fabiana Roberto
FR
Lima
Mauricio
M
Levy-Neto
Samuel Katsuyuki
SK
Shinjo
D003882:Dermatomyositis / Q000150:complications*; D005260:Female; D019693:Hepatitis, Autoimmune / Q000150:complications*; D006801:Humans; D008875:Middle Aged