Background Severe autoimmune liver injury as the first manifestation of systemic lupus erythematosus (SLE) is rare, and concomitant autoimmune hepatitis–primary biliary cholangitis (AIH–PBC) overlap is uncommon. B-cell-activating factor (BAFF) provides a biological rationale for adjunctive therapy, although clinical ev...
Li-Na Zhang, Tong Zhang, Jing Zhang et al.· Frontiers in Immunology· 0 citations
Background Acquired hemophilia A (AHA) usually causes cutaneous, soft-tissue, or muscle bleeding; joint-dominant presentations are uncommon and may be mistaken for septic or inflammatory arthritis. Case presentation A man in his late 60s with no personal or family bleeding history developed recurrent arthritis-like joi...
Jing Zhang, Li-Na Zhang, Sheng-Guang Li et al.· Frontiers in Medicine· 0 citations
Legionella pneumophila
is an important cause of severe community-acquired pneumonia and can produce extrapulmonary manifestations that obscure the primary diagnosis. Diagnostic error is especially likely in patients with established idiopathic inflammatory myopathy, because fever, myalgia, weakness, creatine kinase...
Jing Zhang, Li-Na Zhang, Sheng-Guang Li et al.· Frontiers in Medicine· 0 citations
Disease-activity scores provided modest incremental discrimination beyond established clinical factors, whereas CBC-derived indices added little once conventional inflammatory and disease-activity information was included.
Di Jin, Li-Na Zhang, Yu-Wei Wang et al.· Frontiers in Immunology· 0 citations
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