title: Autoimmune hepatitis with multiple sclerosis and graves disease: coincidence or association?
abstract: Autoimmune hepatitis (AIH) is a generally progressive, chronic hepatitis of unknown cause that occurs in children and adults of all ages. It is associated with a variety of autoimmune conditions like thyroid disorders (Hashimoto and Graves disease), celiac disease and multiple sclerosis (MS). We report the case of a 61-year-old woman with MS (untreated) and a history of Graves disease who presented with fatigue and right upper quadrant abdominal pain. She was admitted to our hospital for evaluation. Clinical and laboratory workup revealed AIH. She was successfully treated with prednisone and azathioprine, with complete clinical and laboratory improvement. However, to our knowledge there have been only a few reports of a possible association between AIH and untreated MS.
authors.affiliation: Internal Medicine Department, Texas Tech University Health Sciences Center, Amarillo, Tex., USA.
authors.forename: Omar N
authors.initials: ON
authors.lastname: Nadhem
authors.affiliation: Internal Medicine Department, Texas Tech University Health Sciences Center, Amarillo, Tex., USA.
authors.forename: Mohammed Al
authors.initials: MA
authors.lastname: Janabi
authors.affiliation: Internal Medicine Department, Texas Tech University Health Sciences Center, Amarillo, Tex., USA.
authors.forename: Abdel Rahman
authors.initials: AR
authors.lastname: Omer
authors.affiliation: Internal Medicine Department, Texas Tech University Health Sciences Center, Amarillo, Tex., USA.
authors.forename: Bang
authors.initials: B
authors.lastname: Wan
keywords: Anti-smooth muscle antibodies; Autoimmune hepatitis; Interferon; Multiple sclerosis