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Lumpy mass at the tip of the ribs. History of elevated AST levels, lupus and anti-smooth muscle antibody. Pain near the ribs. Hepatitis chance?

i have pain in the upper right quadrant. I found a lumpy mass at the tip of my ribs. I have lupus and have had elevated ast/ alt levels but they are normal now. I also have a high anit- smooth muscle antibody . Not sure if it is high right now. it was not checked. Last week I started feeling very ill with no energy. I could barely take care of myself. I started having pain when I ate and every thing made me feel terrible whenever I ate. I have been checked for autoimmune hepatitis and biopsy came back neg. But then this all started about two weeks ago. my prednisone was increase from 5 to 60 mg. I am slowly improving and have some energy back. Is it possible to be developing hepatitis slowly?
Asked On : Tue, 11 Dec 2012
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Orthopaedic Surgeon 's  Response
Thanks for writing to us.
The lumpy mass at the tips of the ribs that you can feel is not likely to be related to any liver pathology like hepatitis. A blood test will help in ruling that out. The swellings are more likely to be soft tissue swellings due to the autoimmune disorder.
I hope this information has been both informative and helpful for you.
Dr. Praveen Tayal
Answered: Thu, 13 Dec 2012
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