Autoimmune Hepatitis Flashcards
1
Q
Pathology of autoimmune hepatitis?
A
Inflammation of the liver due to autoimmune processes
2
Q
What are the symptoms and autoimmune signs of autoimmune hepatitis?
A
Presents with acute hepatitis
Autoimmune signs
- Fever
- Malaise
- Urticaria
- Pleurisy
- Glomerulonephritis
Can be asymptomatic
3
Q
Aetiology?
A
HLA-DR2
HLA-DR3
4
Q
Signs?
A
Hepatosplenomegaly
5
Q
Tests?
A
LFTs
FBC
- Autoantibodies
- > ANAs
Liver biopsy
MRCP to rule out PSC
6
Q
LFT results?
A
Raised ALT and AST
- ALT > AST
- Bilirubin raised
- Albumin down depending on stage
7
Q
What are ANAs?
A
Anti nuclear antibodies
8
Q
FBC results?
A
Anaemia from hypersplenism
9
Q
Treatment of autoimmune hepatitis?
A
IMMUNOSUPPRESSION
- Steroids
- Azothiaprine