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We present the earliest case of AFLP at 15\u2009weeks of gestation confounded by a high titer anti-nuclear antibody (ANA &gt;1\u2009:\u20091280) and concern for autoimmune hepatitis. Our patient had intrauterine fetal demise with prompt dilation and evacuation. Sepsis and multisystem organ failure ensued, and she was transferred to a liver transplant center where she expired without further intervention.<\/jats:p>","DOI":"10.1155\/2021\/8820350","type":"journal-article","created":{"date-parts":[[2021,3,10]],"date-time":"2021-03-10T00:20:56Z","timestamp":1615335656000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Two Fatty Liver Conditions Masquerading as Autoimmune Hepatitis"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5677-3868","authenticated-orcid":true,"given":"Jonathan David","family":"Hendrie","sequence":"first","affiliation":[{"name":"Prisma Health-Upstate, University of South Carolina School of Medicine-Greenville, Department of Medicine, 701 Grove Rd., Greenville, SC 29605, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2239-0981","authenticated-orcid":true,"given":"Mary Crouse","family":"Blumer","sequence":"additional","affiliation":[{"name":"Prisma Health-Upstate, University of South Carolina School of Medicine-Greenville, Department of Medicine, 701 Grove Rd., Greenville, SC 29605, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hubert Henry","family":"Fenton","sequence":"additional","affiliation":[{"name":"Prisma Health-Upstate, Department of Pathology, 701 Grove Rd., Greenville, SC 29605, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8036-3861","authenticated-orcid":true,"given":"Gary Anthony","family":"Abrams","sequence":"additional","affiliation":[{"name":"Prisma Health-Upstate, University of South Carolina School of Medicine-Greenville Department of Medicine, Division of Gastroenterology & Liver Center, 890 W. 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