# A Case Report of a 61-Year-Old Woman With Jaundice and Cholelithiasis Presenting With Autoimmune Hepatitis

## TL;DR

This case report describes a 61-year-old woman with jaundice and gallstones who was diagnosed with autoimmune hepatitis, highlighting the disease's varied presentation.

## Contribution

The novelty lies in presenting a rare case of AIH with atypical symptoms to aid in early detection and treatment.

## Key findings

- The patient exhibited mixed intra- and extrahepatic findings based on initial lab results.
- The case highlights the importance of considering AIH in patients with atypical symptoms like jaundice and rash.
- Early detection and treatment of AIH can be improved by recognizing such complex presentations.

## Abstract

Autoimmune hepatitis (AIH) is a complex disease with a chronic cell-mediated immunologic process against healthy liver cells. The clinical presentation can vary since the exact cause of AIH is multifactorial. Here, we report a case of a 61-year-old woman with a past medical history of post-traumatic stress disorder and hypothyroidism who presented clinically with diffuse abdominal distention, nausea, vomiting, jaundice, rash on the torso and legs, and tea-burnt orange urine. The patient underwent an initial workup with a complete blood count (CBC), comprehensive metabolic panel (CMP), and gamma-glutamyl transpeptidase (GGT), with results leading towards a mixed intra- and extrahepatic process. This report will show various findings related to AIH to improve the detection and treatment of these patients early on.