Autoimmune Hepatitis Flashcards
Type 1 autoimmune hepatitis affects who?
Young women
Middle aged women
Type 2 autoimmune hepatitis affects who?
Children
Young adults
What is type 1 AI hep associated with?
Anti-nuclear Antibody or an anti-smooth muscle antibody
What is type 2 AI hep associated with?
Associated with liver kidney microsomal Antibody (LKM-1)
Exclusive to this disease
How does AI hepatitis present?
Hepatomegaly Jaundice Stigmata of chronic liver disease Splenomegaly Elevated AST & ALT Elevated PT time Malaise, fatigue, lethargy, nausea, abdo pain, anorexia
Diagnosis of AI hepatitis?
Liver biopsy
Elevated AST/ALT/ IgG
Rule out other diseases
Presence of AI antibodies
Which disease to rule out in diagnosis?
Wilsons disease Alpha 1 antitrypsin deficiency Viral Hep (A, B,C) Drug induced liver disease NASH PBC, PSC, AI cholangitis
Treatment of AI hepatitis?
Aim to cause remission
Corticosteroids
Azathioprine
Pred + azathioprine
Prognosis of AI hepatitis?
40% develop cirrhosis
If untreated 40% die within 6 months