Abnormal liver function tests in inflammatory arthritis: think beyond the DMARDs

Abnormal liver function tests are often seen in patients with inflammatory arthritis. These are commonly associated with disease-modifying anti-rheumatic drugs, however, clinicians must hold a high index of suspicion for less common causes. This article details two of such cases where hereditary hae...

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Veröffentlicht in:	Oxford Medical Case Reports 2018-09, Vol.2018 (9), p.omy058
Hauptverfasser:	Fahmy, Alexander, MacDonald, Gordon, Evans, Alexander
Format:	Artikel
Sprache:	eng
Schlagworte:	Arthritis Case Report Liver Liver diseases Liver function tests Methotrexate
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description	Abnormal liver function tests are often seen in patients with inflammatory arthritis. These are commonly associated with disease-modifying anti-rheumatic drugs, however, clinicians must hold a high index of suspicion for less common causes. This article details two of such cases where hereditary haemochromatosis and acute hepatitis E infection were actually responsible for deranged serum liver enzymes. Correct identification of these conditions leads to disease specific management and improved patient outcomes.
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subjects	Arthritis Case Report Liver Liver diseases Liver function tests Methotrexate
title	Abnormal liver function tests in inflammatory arthritis: think beyond the DMARDs
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