AUTOIMMUNE HEPATITIS AS A RARE CAUSE OF HEPATITIS IN A HUMAN IMMUNE DEFICIENCY VIRUS INFECTED PATIENT ON ANTIRETROVIRAL TREATMENT: A CASE REPORT

The emergence of hepatic injury in patients with human immunodeficiency virus infection during highly active therapy presents a diagnostic dilemma. It may represent treatment side effects or Autoimmune disorders, such as autoimmune hepatitis, emerging during immune restoration. We present the case of a 25-year-old Indian woman with human immunodeficiency virus infection who presented to our emergency department with icterus, abdominal pain and was found to have autoimmune hepatitis. In our patient (the one patient case we are reporting), a liver biopsy revealed interface hepatitis, necrosis with lymphocytes and plasma cell infiltrates and variable degrees of fibrosis.