TITLE:
Severe Epistaxis, Atypical Presentation of Lupus Hepatitis
AUTHORS:
Paul Eloundou, Francine Same Bebey, Doun Fouda, Minko Gaelle, Bisseh Vanessa, Tcheumagam Kelly, Feuwou Charifa, Biwole Ghislaine, Ekoumkang Valérie, Dontsi Donrielle, Doumbe Jacques
KEYWORDS:
Lupus Hepatitis, Systemic Lupus, Azathioprine, Corticoids, Epistaxis
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.15 No.3,
June
25,
2025
ABSTRACT: Lupus hepatitis is a rare manifestation of systemic lupus erythematosus. When present, it manifests as frustrating clinical signs and moderate disturbance of liver function. We describe a case of lupus hepatitis revealed by massive epistaxis secondary to hepatocellular failure in a 35-year-old female patient whose diagnosis of lupus was made secondarily. Management consisted of azathioprine and corticosteroids, with good resolution of clinical and laboratory signs.