Journal Basic Info
- Impact Factor: 1.809**
- H-Index: 6
- ISSN: 2474-1655
- DOI: 10.25107/2474-1655
Major Scope
- Obstetrics and Gynecology
- Pediatrics
- Diabetology
- Chronic Disease
- Pulmonary Medicine
- Medical Radiography
- Forensic and Legal Medicine
- Palliative Care
Abstract
Citation: Ann Clin Case Rep. 2016;1(1):1122.DOI: 10.25107/2474-1655.1122
Autoimmune Hepatitis-Induced Cirrhosis due to Long- Term Methotrexate Therapy for Rheumatoid Arthritis
Habeeb Salameh, Jack Johnson, Kaled Diab, Hamzeh Saraireh, Shehzad N Merwat and Heather L Stevenson
Department of Internal Medicine, University of Texas Medical Branch at Galveston, USA
School of Medicine, University of Texas Medical Branch, USA
Department of Pathology, University of Texas Medical Branch at Galveston, USA
*Correspondance to: Heather L. Stevenson
PDF Full Text Case Report | Open Access
Abstract:
Methotrexate (MTX) is commonly used to treat rheumatoid arthritis and can adversely affect the liver. Autoimmune hepatitis (AIH) is an extremely rare manifestation of MTX induced liver disease and has only been described in two previous cases. This report describes a patient that developed AIH, incomplete cirrhosis and portal hypertension after 10 years of MTX therapy. Liver function improved after discontinuation of MTX and proper treatment. Internists, family practitioners, gastroenterologists and hepatologists should be aware of the uncommon side effects of MTX and appropriately monitor patient’s liver function tests. This will lead to earlier detection and prevention of bad clinical outcomes.
Keywords:
Methotrexate (MTX); Autoimmune hepatitis; Rheumatoid arthritis; Liver cirrhosis
Cite the Article:
Salameh H, Johnson J, Diab K, Saraireh H, Merwat SN, Stevenson HL. Autoimmune Hepatitis-Induced Cirrhosis due to Long-Term Methotrexate Therapy for Rheumatoid Arthritis. Ann Clin Case Rep. 2016; 1: 1122.