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10/21/2026 2:09:38 AM | Browse: 1 | Download: 0
Publication Name World Journal of Hepatology
Manuscript ID 124793
Country United States
Received
2026-06-24 07:38
Peer-Review Started
2026-06-24 07:38
First Decision by Editorial Office Director
Return for Revision
2026-07-23 07:18
Revised
2026-08-05 04:40
Publication Fee Transferred
Second Decision by Editor
2026-09-17 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-17 09:37
Articles in Press
2026-09-17 09:37
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-09-30 14:49
Publish the Manuscript Online
2026-10-21 02:09
ISSN 1948-5182 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Minireviews
Article Title Autoimmune hepatitis in the context of systemic lupus erythematosus: A narrative review of overlap syndrome and lupus-associated hepatitis
Manuscript Source Unsolicited Manuscript
All Author List Abdelwahap Elghezewi and Mujtaba Mohamed
ORCID
Author(s) ORCID Number
Abdelwahap Elghezewi http://orcid.org/0000-0002-5683-9601
Funding Agency and Grant Number
Corresponding Author Abdelwahap Elghezewi, Academic Fellow, FACG, FACP, Section of Gastroenterology, Marshall University, 249 15th Street, Huntington, WV 25701, United States. elghezewia@marshall.edu
Key Words Autoimmune hepatitis; Systemic lupus erythematosus; Overlap syndrome; Lupus hepatitis; autoantibodies; Liver biopsy; Immunopathogenesis
Core Tip Liver enzyme abnormalities affect up to 60% of patients with systemic lupus erythematosus, yet true autoimmune hepatitis (AIH)-systemic lupus erythematosus overlap is rare and often over-diagnosed because antinuclear antibodies and hypergammaglobulinemia inflate International AIH Group scores. AIH is cell-mediated and can progress to cirrhosis, whereas lupus hepatitis is immune complex-mediated with complement consumption and an excellent prognosis. Liver biopsy with C1q immunofluorescence, anti-smooth muscle and anti-soluble liver antigen/liver-pancreas antibodies, and complement levels are key discriminators. Mycophenolate mofetil is the preferred dual-purpose agent; validated overlap-specific criteria remain needed.
Publish Date 2026-10-21 02:09
Citation

Elghezewi A, Mohamed M. Autoimmune hepatitis in the context of systemic lupus erythematosus: A narrative review of overlap syndrome and lupus-associated hepatitis. World J Hepatol 2026; 18(10): 124793

URL https://www.wjgnet.com/1948-5182/full/v18/i10/124793.htm
DOI https://doi.org/10.4254/wjh.124793
Full Article (PDF) WJH-18-124793-with-cover.pdf
Manuscript File 124793_Auto_Edited_005503.docx
Answering Reviewers 124793-answering-reviewers.pdf
Audio Core Tip 124793-audio.m4a
Conflict-of-Interest Disclosure Form 124793-conflict-of-interest-statement.pdf
Copyright License Agreement 124793-copyright-assignment.pdf
Peer-review Report 124793-peer-reviews.pdf
Scientific Misconduct Check 124793-scientific-misconduct-check.png
CrossCheck Report 124793-crosscheck-report.pdf