Autoimmune hepatitis complicated by adult‐onset Still's disease during treatment with tocilizumab: A case report from acute onset to recurrence

Author:

Uchihara Daiki12ORCID,Suzuki Tomohiro1,Koya Yudai2,Tai Mayumi12,Ichii Osamu1,Matsuhashi Nobuo1,Ejiri Yutaka1,Kato Tomoya3,Honma Yuichi2,Shibata Michihiko2,Harada Masaru2

Affiliation:

1. Department of Gastroenterology Fukushima Rosai Hospital Iwaki Japan

2. Third Department of Internal Medicine, School of Medicine University of Occupational and Environmental Health Kitakyushu Japan

3. Department of Pathology Fukushima Rosai Hospital Iwaki Japan

Abstract

Key Clinical MessageThe characteristics of liver dysfunction due to adult‐onset Still's disease are not specific. Differentiating from autoimmune hepatitis is important in deciding whether to continue corticosteroid therapy, and also in terms of management of cirrhosis and surveillance of hepatocellular carcinoma. Liver biopsy is thought to be the most important determinant for differential diagnosis.

Publisher

Wiley

Subject

General Medicine

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