title: Case of acute hepatitis E with concomitant signs of autoimmunity.
abstract: Sporadic cases of acute viral hepatitis E have been described in developed countries, despite the more common occurrence in endemic areas and developing countries. We present the case of a 58 years old Portuguese female, with no epidemiological relevant factors, admitted with acute hepatitis with positive anti-nuclear antibodies, anti-smooth muscle antibody and high serum gamma globulin (> 1.5 fold increase). Serologies for hepatitis A virus, hepatitis B virus, hepatitis C virus, Epstein-Barr virus, cytomegalovirus, hereditary sensory neuropathy and varicella zoster virus were negative. Liver biopsy histology revealed changes compatible with autoimmune hepatitis. Prednisolone and azathioprine was started. She tested positive for immunoglobulin M anti hepatitis E virus (HEV) with detectable viremia by reverse transcription polymerase chain reaction (RT-PCR) technique. HEV-RNA was confirmed through RT-PCR in a liver specimen, establishing the diagnosis of acute hepatitis E. Immunosuppression was stopped. She clinically improved, with resolution of laboratory abnormalities. Therefore, we confirmed acute hepatitis E as the diagnosis. We review the literature to elucidate about HEV infection and its autoimmune effects.
authors.affiliation: Catarina Lima Vieira, Cilénia Baldaia, Narcisa Fatela, Fernando Ramalho, Carlos Cardoso, Department of Gastroenterology and Hepatology, Hospital Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisbon, Portugal.
authors.forename: Catarina Lima
authors.initials: CL
authors.lastname: Vieira
authors.forename: Cilénia
authors.initials: C
authors.lastname: Baldaia
authors.forename: Narcisa
authors.initials: N
authors.lastname: Fatela
authors.forename: Fernando
authors.initials: F
authors.lastname: Ramalho
authors.forename: Carlos
authors.initials: C
authors.lastname: Cardoso
keywords: Autoimmune; Hepatitis; Hepatitis E; Ribavirin
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