Concomitant Occurrence of Non cirrhotic Portal Hypertension Multiple Acute Cerebral Infarcts, and Lupus Nephritis in a Patient with Systemic Lupus Erythematosus

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease that is characterized by multiple organ involvement with extremely variable and heterogeneous clinical presentations. Patients with SLE do not often experience multiple acute ischemic strokes, and liver involvement caused by SLE itself, such as cirrhosis, portal hypertension, or hepatic encephalopathy, is even rarer. In this paper, we report on a 35-year-old woman with SLE simultaneously presenting with multiple acute ischemic strokes, portal hypertension, nodular regenerative hyperplasia and lupus nephritis. To our knowledge, such a concomitant occurrence has rarely been reported in SLE patients before.