THE MAIN CLINICAL TYPES OF LIVER INVOLVEMENT IN SYSTEMIC LUPUS ERYTHEMATOSUS

Authors

DOI:

https://doi.org/10.52754/16948610_2025_1_4

Keywords:

systemic lupus erythematosus, SLE, liver damage, lupus hepatite

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune connective tissue disorder characterized by systemic inflammation affecting almost all organs and tissues of the body. The aim of this study was to evaluate the frequency and clinical manifestations of liver involvement in 78 patients diagnosed with SLE. The study methods included clinical examination, biochemical blood tests (measuring transaminases, bilirubin, and albumin levels), serological tests to identify specific antibodies, and liver ultrasound to assess its condition. Liver involvement was identified in 41 (52.5%) patients. The clinical forms of liver pathology observed in these patients included lupus hepatitis in 19 (46.3%), drug-induced hepatitis in 8 (19.5%), chronic viral hepatitis B and C in 2 (4.9%), secondary antiphospholipid syndrome in 3 (7.3%), non-alcoholic fatty liver disease in 6 (14.6%), and cirrhosis in 3 (7.3%) cases. These findings highlight the importance of early detection and regular monitoring of liver abnormalities in SLE patients, which will allow for optimized treatment and prevention strategies, improving the overall prognosis of the disease.

References

Богмат, Л.Ф., Шевченко, Н.С., Матвиенко, Е.В. (2015). Поражение печени при системной красной волчанке у подростков. Здоровье ребенка, т. 64, №4, сс. 34-40.

Мамасаидов, А.Т., Салиева, Р.Ш., Маматова, С.М., Сакибаев, К.Ш., Мамасаидова, Г.М. (2018). Частота встречаемости клинических симптомов бронхиолита у больных ревматоидным артритом. Вестник КГМА имени И.К. Ахунбаева, 1(4), с. 45-49.

Мамасаидов, А.Т., Тогизбаев, Г.А., Мамасаидов, Ф. А. (2022). О клиническом значении пролиферативной активности В-лимфоцитов при системной красной волчанке. Научно-практический специализированный журнал «Ревматология Казахстана», №3(6), с. 6-10. DOI: https://doi.org/10.24353/QR.2021.67.18.005

Мамасаидов, А.Т., Мамасаидов, Ф.А., Тогизбаев, Г.А. (2023). Анти-В-клеточная терапия при системной красной волчанке. Научно-практический специализированный журнал «Ревматология Казахстана», №2, с. 19-23.

Панова, А.П., Авдеев, В.Г., Краснова, Т.В. (2021). Поражение печени у больных системной красной волчанкой. Научно-практическая ревматология, т. 59, №2, сс. 164-172. https://doi.org/10.47360/1995-4484-2021-164-172. DOI: https://doi.org/10.47360/1995-4484-2021-164-172

Bessone, F., Poles, N., Roma, M.G. (2014). Challenge of liver disease in systemic lupus erythematosus: Clues for diagnosis and hints for pathogenesis. World J Hepatol, 6(6), сс. 394-409. https://doi.org/10.4254/wjh.v6.i6.394.

Brewer, B.N., Kamen, D.L. (2018). Gastrointestinal and hepatic disease in systemic lupus erythematosus. Rheum Dis Clin North Am, 44(1), сс. 165-175. https://doi.org/10.1016/j.rdc.2017.09.011. DOI: https://doi.org/10.1016/j.rdc.2017.09.011

Chowdhary, V.R., Crowson, C.S., Poterucha, J.J., Moder, K.G. (2008). Liver involvement in systemic lupus erythematosus: case review of 40 patients. J Rheumatol, 35(11), сс. 2159-2164. https://doi.org/10.3899/jrheum.080336. DOI: https://doi.org/10.3899/jrheum.080336

Efe, C., Purnak, T., Ozaslan, E., Ozbalkan, Z., Karaaslan, Y., Altiparmak, E., et al. (2011). Autoimmune liver disease in patients with systemic lupus erythematosus: A retrospective analysis of 147 cases. Scand J Gastroenterol, 46(6), сс. 732-737. https://doi.org/10.3109/00365521.2011.558114. DOI: https://doi.org/10.3109/00365521.2011.558114

Khalifa, M., Benjazia, E., Rezgui, A., Ghannouchi, N., Alaoua, A., Braham, A., et al. (2011). Lupus hepatitis: A case series of 12 patients. Rev Med Interne, 32(6), сс. 347-349. https://doi.org/10.1016/j.revmed.2010.10.357. DOI: https://doi.org/10.1016/j.revmed.2010.10.357

Piga, M., Vacca, A., Porru, G., Cauli, A., Mathieu, A. (2010). Liver involvement in systemic lupus erythematosus: incidence, clinical course and outcome of lupus hepatitis. Clin Exp Rheumatol, 28(4), сс. 504-510.

Zheng, R.H., Wang, J.H., Wang, S.B., Chen, J., Guan, W.M., Chen, M.H. (2013). Clinical and immunopathological features of patients with lupus hepatitis. Chin Med J (Engl), 126(2), сс. 260-266. https://doi.org/10.3760/cma.j.issn.0366-6999.20121153. DOI: https://doi.org/10.3760/cma.j.issn.0366-6999.20121153

González-Regueiro, J.A., Cruz-Contreras, M., Merayo-Chalico, J., Barrera-Vargas, A., Ruiz-Margáin, A., Campos-Murguía, A., Espin-Nasser, M., Martínez-Benítez, B., Méndez-Cano, V.H., Macías-Rodríguez, R.U. (2020). Hepatic manifestations in systemic lupus erythematosus. Lupus, 29(8), сс. 813-824. https://doi.org/10.1177/0961203320923398. DOI: https://doi.org/10.1177/0961203320923398

Wang, C.R., Tsai, H.W., Wu, I.C. (2024). Systemic lupus erythematosus and autoimmune hepatitis overlap disease in a hospitalized systemic lupus erythematosus cohort. J Formos Med Assoc, 123(10), сс. 1110-1114. https://doi.org/10.1016/j.jfma.2024.06.003. DOI: https://doi.org/10.1016/j.jfma.2024.06.003

Alharbi, S. (2022). Gastrointestinal Manifestations in Patients with Systemic Lupus Erythematosus. Open Access Rheumatology: Research and Reviews, 14, 243–253. https://doi.org/10.2147/OARRR.S384256 DOI: https://doi.org/10.2147/OARRR.S384256

Bertsias, G. K., Pamfil, C., Fanouriakis, A., & Boumpas, D. T. (2013). Diagnostic criteria for systemic lupus erythematosus: Has the time come? Nature Reviews. Rheumatology, 9(11), 687–694. https://doi.org/10.1038/nrrheum.2013.103 DOI: https://doi.org/10.1038/nrrheum.2013.103

Bessone, F., Poles, N., & Roma, M. G. (2014). Challenge of liver disease in systemic lupus erythematosus: Clues for diagnosis and hints for pathogenesis. World Journal of Hepatology, 6(6), 394–409. https://doi.org/10.4254/wjh.v6.i6.394 DOI: https://doi.org/10.4254/wjh.v6.i6.394

Fanouriakis, A., Tziolos, N., Bertsias, G., & Boumpas, D. T. (2021). Update οn the diagnosis and management of systemic lupus erythematosus. Annals of the Rheumatic Diseases, 80(1), 14–25. https://doi.org/10.1136/annrheumdis-2020-218272 DOI: https://doi.org/10.1136/annrheumdis-2020-218272

Imran, S., Thabah, M. M., Azharudeen, M., Ramesh, A., Bobby, Z., & Negi, V. S. (2021). Liver Abnormalities in Systemic Lupus Erythematosus: A Prospective Observational Study. Cureus, 13(6), e15691. https://doi.org/10.7759/cureus.15691 DOI: https://doi.org/10.7759/cureus.15691

Larosa, M., Iaccarino, L., Gatto, M., Punzi, L., & Doria, A. (2016). Advances in the diagnosis and classification of systemic lupus erythematosus. Expert Review of Clinical Immunology, 12(12), 1309–1320. https://doi.org/10.1080/1744666X.2016.1206470 DOI: https://doi.org/10.1080/1744666X.2016.1206470

Matsumoto, T., Kobayashi, S., Shimizu, H., Nakajima, M., Watanabe, S., Kitami, N., Sato, N., Abe, H., Aoki, Y., Hoshi, T., & Hashimoto, H. (2000). The liver in collagen diseases: Pathologic study of 160 cases with particular reference to hepatic arteritis, primary biliary cirrhosis, autoimmune hepatitis and nodular regenerative hyperplasia of the liver. Liver, 20(5), 366–373. https://doi.org/10.1034/j.1600-0676.2000.020005366.x DOI: https://doi.org/10.1034/j.1600-0676.2000.020005366.x

Ohira, H., Abe, K., & Takahashi, A. (2012). Involvement of the liver in rheumatic diseases. Clinical Journal of Gastroenterology, 5(1), 9–14. https://doi.org/10.1007/s12328-011-0271-4 DOI: https://doi.org/10.1007/s12328-011-0271-4

Shenavandeh, S., Taghavi, S. A., Nekooeian, A., & Moini, M. (2024). Pharmacological considerations in pharmacotherapy of rheumatology patients with liver disease: A brief narrative review. Reumatologia, 62(4), 282–293. https://doi.org/10.5114/reum/191791 DOI: https://doi.org/10.5114/reum/191791

Siegel, C. H., & Sammaritano, L. R. (2024). Systemic Lupus Erythematosus: A Review. JAMA, 331(17), 1480–1491. https://doi.org/10.1001/jama.2024.2315 DOI: https://doi.org/10.1001/jama.2024.2315

Takahashi, A., Abe, K., Saito, R., Iwadate, H., Okai, K., Katsushima, F., Monoe, K., Kanno, Y., Saito, H., Kobayashi, H., Watanabe, H., & Ohira, H. (2013). Liver dysfunction in patients with systemic lupus erythematosus. Internal Medicine (Tokyo, Japan), 52(13), 1461–1465. https://doi.org/10.2169/internalmedicine.52.9458 DOI: https://doi.org/10.2169/internalmedicine.52.9458

Wang, C.-R., & Tsai, H.-W. (2022). Autoimmune liver diseases in systemic rheumatic diseases. World Journal of Gastroenterology, 28(23), 2527–2545. https://doi.org/10.3748/wjg.v28.i23.2527 DOI: https://doi.org/10.3748/wjg.v28.i23.2527

Chaudhary, F. S., Sureen, A., Yousaf, M. N., Rao, D. S., & Siva, C. (2023). Co-presentation of lupus nephritis with autoimmune hepatitis. American Journal of Case Reports, 24, e940478. https://doi.org/10.12659/AJCR.940478 DOI: https://doi.org/10.12659/AJCR.940478

Published

2025-03-25

How to Cite

Mamasaidov , A., Togizbaev , G., Mamasaidov , F., & Salieva , R. (2025). THE MAIN CLINICAL TYPES OF LIVER INVOLVEMENT IN SYSTEMIC LUPUS ERYTHEMATOSUS. Bulletin of Osh State University, (1), 31–41. https://doi.org/10.52754/16948610_2025_1_4