title: Autoimmune hepatitis and eosinophilic granulomatosis with polyangiitis: a rare association.
abstract: We describe a case of 40-year-old woman who presented to our hospital with symptoms of non-radiating epigastric pain for 4-5 days associated with nausea and vomiting. Her history was significant for asthma with recurrent exacerbations, polyneuropathy and recurrent sinus infections. Liver function tests revealed cholestasis. Antinuclear antibody and antismooth muscle cell antibody were positive. Liver biopsy revealed active chronic hepatitis with cholestasis. A diagnosis of autoimmune hepatitis was made. All other causes of cholestatic jaundice were ruled out. Her history of recurrent asthma exacerbations, eosinophilia, recurrent sinus infections and positive myeloperoxidase antibodies was suggestive of eosinophilic granulomatosis with polyangiitis. She was found to have combination of autoimmune hepatitis and eosinophilic granulomatosis with polyangiitis, a rarely reported association in the medical literature. She was started on prednisone for her autoimmune hepatitis. On follow-up with her gastroenterologist, her transaminases were trending down and she was symptomatically better.
authors.affiliation: Internal Medicine Residency, Reading Health System, Sixth Avenue and Spruce Street, West Reading, Pennsylvania, USA.
authors.forename: Saroj
authors.initials: S
authors.lastname: Lohani
authors.affiliation: Internal Medicine Residency, Reading Health System, Sixth Avenue and Spruce Street, West Reading, Pennsylvania, USA.
authors.forename: Salik
authors.initials: S
authors.lastname: Nazir
authors.affiliation: Internal Medicine Residency, Reading Health System, Sixth Avenue and Spruce Street, West Reading, Pennsylvania, USA.
authors.forename: Niranjan
authors.initials: N
authors.lastname: Tachamo
authors.affiliation: Department of Internal Medicine, Reading Health System, Sixth Avenue and Spruce Street, West Reading, Pennsylvania, USA.
authors.forename: Pavani
authors.initials: P
authors.lastname: Pagolu
mesh_terms: D000328:Adult; D002779:Cholestasis / Q000150:complications; D015267:Churg-Strauss Syndrome / Q000150:complications*; D005260:Female; D019693:Hepatitis, Autoimmune / Q000150:complications*; D006801:Humans