title: Spectrum of Histomorphologic Findings in Liver in Patients with SLE: A Review.
abstract: Collagen vascular diseases (CVDs) like systemic lupus erythematosus (SLE), rheumatoid arthritis, Sjogren syndrome (SS), and scleroderma are immunologically mediated disorders that typically have multisystem involvement. Although clinically significant liver involvement is rare, liver enzyme abnormalities are common in these patients. The reported prevalence of hepatic involvement in SLE, histopathologic findings, and its significance is very variable in the existing literature. It is important to be familiar with the causes of hepatic involvement in SLE along with histomorphological features which aid in distinguishing hepatitis of SLE from other hepatic causes as they would alter the patient management and disease course. Histopathology of liver in SLE shows a wide morphological spectrum commonly due to a coexisting pathology. Drug induced hepatitis, viral etiology, and autoimmune overlap should be excluded before attributing the changes to SLE itself. Common histopathologic findings in SLE include fatty liver, portal inflammation, and vascular changes like hemangioma, congestion, nodular regenerative hyperplasia, arteritis, and abnormal vessels in portal tracts.
authors.affiliation: Department of Pathology, Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Shrruti
authors.initials: S
authors.lastname: Grover
authors.affiliation: Department of Pathology, Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Archana
authors.initials: A
authors.lastname: Rastogi
authors.affiliation: Department of Pathology, Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Jyotsna
authors.initials: J
authors.lastname: Singh
authors.affiliation: Department of Pathology, Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Apurba
authors.initials: A
authors.lastname: Rajbongshi
authors.affiliation: Department of Pathology, Institute of Liver and Biliary Sciences D-1, Vasant Kunj, New Delhi 110070, India.
authors.forename: Chhagan
authors.initials: C
authors.lastname: Bihari