Concurrent, New-Onset Autoimmune Hepatitis, Celiac Disease, and Hashimoto's Thyroiditis Following COVID-19: A Case Report

Authors

Mojdeh Mostafavi MD, Baystate HealthFollow
Annie Abraham MD, Baystate HealthFollow
James Mueller MD, Baystate HealthFollow
Wael Sayej MD, Baystate HealthFollow

Author Department

Internal Medicine; Pediatrics; Pathology

Document Type

Article, Peer-reviewed

Publication Date

11-2023

Abstract

Here we describe a 13-year-old adolescent female diagnosed with concurrent autoimmune disorders including Grave disease, Celiac disease, and autoimmune hepatitis within 3 months after infection with severe acute respiratory syndrome coronavirus 2. The patient initially presented to her pediatrician with complaints of epistaxis, cessation of menses, palpitations, and weight loss. Initial evaluation showed evidence of hyperthyroidism, elevated liver enzymes, and abnormal Celiac disease serologies. Additional testing including laboratory tests, liver biopsy, and an upper endoscopy with biopsies confirmed the diagnosis of Grave disease, Celiac disease, and type 1 autoimmune hepatitis. This case highlights the importance of recognizing the risk of autoimmune disorders associated with the novel coronavirus disease 2019.

Keywords: COVID-19; Celiac disease; autoimmune hepatitis.

Recommended Citation

Mostafavi M, Abraham A, Mueller J, Sayej W. Concurrent, New-Onset Autoimmune Hepatitis, Celiac Disease, and Hashimoto's Thyroiditis Following COVID-19: A Case Report. JPGN Rep. 2023 Nov 27;4(4):e388. doi: 10.1097/PG9.0000000000000388.

PMID

38034457