Neonatal lupus erythematosus with cholestatic hepatitis

Sheng-Chieh Lin, Shyh-Dar Shyur, Li-Hsin Huang, Jiunn-Yi Wu, Hsun T. Chuo, Hung-Chang Lee

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Neonatal lupus erythematosus is an uncommon passive autoimmune disease in which there is transplacental passage of anti-Ro/SSA and/or anti-La/SSB or anti-U1RNP maternal autoantibodies. Its common clinical manifestations include cardiac disease, notably congenital heart block, cutaneous lupus lesions, and hematologic problems. During the past decade, it has become clear that hepatobiliary disease may also occur as a manifestation of neonatal lupus erythematosus. We report a case of neonatal lupus erythematosus in a male infant who had lupus hepatitis with jaundice in addition to cutaneous lupus, anemia, and thrombocytopenia. Other diseases in the differential diagnosis of conjugated hyperbilirubinemia, including metabolic, infectious, and inherited anatomic conditions were all ruled out. The infant had a high titer of antinuclear antibodies (titer 1:640) with a speckled pattern, anti-Ro/SSA and anti-La/SSB antibodies, and no anti-dsDNA antibodies. Treatment with prednisolone (2 mg/kg/day) for 14 days resulted in dramatic improvement of the thrombocytopenia. Hemoglobin and bilirubin returned to normal 2 months later, and transaminases were normal by 10 months of age.
Original languageEnglish
Pages (from-to)131-134
Number of pages4
JournalJournal of Microbiology, Immunology and Infection
Volume37
Issue number2
Publication statusPublished - 2004
Externally publishedYes

Keywords

  • Cholestasis
  • Hepatitis
  • Lupus erythematosus
  • Newborn infant
  • aminotransferase
  • antinuclear antibody
  • autoantibody
  • bilirubin
  • hemoglobin
  • maternal antibody
  • prednisolone
  • ribonucleoprotein antibody
  • Ro antibody
  • anemia
  • article
  • autoimmune disease
  • case report
  • cholestatic hepatitis
  • clinical feature
  • congenital heart block
  • differential diagnosis
  • disease association
  • fetomaternal transfusion
  • heart disease
  • hematologic disease
  • hepatitis
  • human
  • hyperbilirubinemia
  • infection
  • jaundice
  • lupus erythematosus
  • male
  • metabolic disorder
  • newborn
  • newborn disease
  • newborn lupus erythematosus
  • skin lupus erythematosus
  • thrombocytopenia
  • Anemia
  • Antibodies, Antinuclear
  • Autoantibodies
  • Autoantigens
  • Humans
  • Infant
  • Infant, Newborn
  • Lupus Erythematosus, Systemic
  • Male
  • Prednisolone
  • Ribonucleoproteins
  • Thrombocytopenia
  • Transaminases

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