Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review
Yıl: 2022 Cilt: 14 Sayı: 1 Sayfa Aralığı: 36 - 39 Metin Dili: İngilizce DOI: 10.4274/raed.galenos.2022.88597 İndeks Tarihi: 27-06-2022
Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review
Öz: Thromboses in hepatic and portal veins are the most common
problems affecting the gastro-hepatic system in antiphospholipid
syndrome (APS), but hepatic artery thrombosis has been rarely
reported especially during pregnancy or the postpartum period. We
have reported a 26-year-old female patient with a previous diagnosis of
systemic lupus erythematosus and APS manifested by fever and severe
abdominal pain. Based on clinical and laboratory findings, diagnosis of
liver abscess was initially considered. The final diagnosis was confirmed
as liver infarction due to APS based on liver biopsy. After treatment
with intravenous immunoglobulin, anticoagulation, plasmapheresis,
and steroid, the clinical and laboratory improvement were observed.
Here, our aim is to attract attention that hepatic necrosis may mimic
liver abscess in terms of clinical symptoms and laboratory findings.
Anahtar Kelime: Karaciğer apsesi mi yoksa nekrozu mu? Sistemik lupus eritematoz ve antifosfolipid antikor sendromu olan hastada tanısal ikilem: Olgu eşliğinde kısa bir derleme
Öz: Hepatik ve portal ven trombozları antifosfolipid antikor sendromunun
(AFAS) en sık gastrointestinal tutulum şeklidir. Hepatik arter
trombozları ise özellikle gebelik veya postpartum dönemde nadir de
olsa bildirilmiştir. Burada ateş ve şiddetli karın ağrısı ile başvuran 26
yaşında sistemik lupus eritematoz ve AFAS tanıları ile takip edilen
kadın bir hasta sunduk. Klinik ve laboratuvar bulgular ile öncelikle
karaciğer apsesi düşünülen hastaya karaciğer biyopsisi sonrası AFAS
ilişkili karaciğer nekrozu tanısı kondu. İntravenöz immünoglobulin,
antikoagülasyon, plazmaferez ve steroid tedavisi sonrası klinik ve
laboratuvar iyileşme sağlandı. Amacımız nadir de olsa karaciğer
nekrozunun klinik ve laboratuvar olarak karaciğer apsesini taklit
edebildiğine dikkat çekmektir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA | YILDIRIM R, ÜSKÜDAR CANSU D, Dinler M, Arık D, korkmaz c (2022). Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. , 36 - 39. 10.4274/raed.galenos.2022.88597 |
Chicago | YILDIRIM REŞİT,ÜSKÜDAR CANSU Döndü,Dinler Mustafa,Arık Deniz,korkmaz cengiz Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. (2022): 36 - 39. 10.4274/raed.galenos.2022.88597 |
MLA | YILDIRIM REŞİT,ÜSKÜDAR CANSU Döndü,Dinler Mustafa,Arık Deniz,korkmaz cengiz Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. , 2022, ss.36 - 39. 10.4274/raed.galenos.2022.88597 |
AMA | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. . 2022; 36 - 39. 10.4274/raed.galenos.2022.88597 |
Vancouver | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. . 2022; 36 - 39. 10.4274/raed.galenos.2022.88597 |
IEEE | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c "Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review." , ss.36 - 39, 2022. 10.4274/raed.galenos.2022.88597 |
ISNAD | YILDIRIM, REŞİT vd. "Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review". (2022), 36-39. https://doi.org/10.4274/raed.galenos.2022.88597 |
APA | YILDIRIM R, ÜSKÜDAR CANSU D, Dinler M, Arık D, korkmaz c (2022). Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. Ulusal Romatoloji Dergisi, 14(1), 36 - 39. 10.4274/raed.galenos.2022.88597 |
Chicago | YILDIRIM REŞİT,ÜSKÜDAR CANSU Döndü,Dinler Mustafa,Arık Deniz,korkmaz cengiz Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. Ulusal Romatoloji Dergisi 14, no.1 (2022): 36 - 39. 10.4274/raed.galenos.2022.88597 |
MLA | YILDIRIM REŞİT,ÜSKÜDAR CANSU Döndü,Dinler Mustafa,Arık Deniz,korkmaz cengiz Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. Ulusal Romatoloji Dergisi, vol.14, no.1, 2022, ss.36 - 39. 10.4274/raed.galenos.2022.88597 |
AMA | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. Ulusal Romatoloji Dergisi. 2022; 14(1): 36 - 39. 10.4274/raed.galenos.2022.88597 |
Vancouver | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review. Ulusal Romatoloji Dergisi. 2022; 14(1): 36 - 39. 10.4274/raed.galenos.2022.88597 |
IEEE | YILDIRIM R,ÜSKÜDAR CANSU D,Dinler M,Arık D,korkmaz c "Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review." Ulusal Romatoloji Dergisi, 14, ss.36 - 39, 2022. 10.4274/raed.galenos.2022.88597 |
ISNAD | YILDIRIM, REŞİT vd. "Is it a liver abscess or liver infarction? Diagnostic dilemma in a patient with systemic lupus erythematosus and antiphospholipid syndrome: a case-based mini review". Ulusal Romatoloji Dergisi 14/1 (2022), 36-39. https://doi.org/10.4274/raed.galenos.2022.88597 |