Autoimmune hepatitis is a generally progressive, chronic hepatitisof unknown cause that occurs in children and adults of all ages.Occasionally, it has a fluctuating course, with periods of increasedor decreased activity. The diagnosis is based on histologicabnormalities, characteristic clinical and biochemical findings,and abnormal levels of serum globulins, including autoantibodies.Since the first descriptions of this disorder more than 50 yearsago,1 many labels have been applied, but "autoimmune hepatitis"has been accepted as the most appropriate and least redundantterm.2,3 Variant, overlapping, or mixed forms of autoimmunehepatitis that share features with other putative autoimmuneliver . . . [Full Text of this Article]
Pathogenesis
Potential Triggers
Genetic Susceptibility
Mechanisms of Aberrant Autoreactivity
Clinical Characteristics
Presentation
Laboratory Abnormalities
Classification and Autoantibodies
Complications
Histologic Appearance
Diagnosis
Variant Syndromes
Treatment
Standard Treatment
Other Therapy
Treatment of Variant Syndromes
Liver Transplantation
Summary
Source Information
From the Department of Medicine, University of Vermont, Burlington; and the Department of Medicine, Dartmouth College, Hanover, N.H.
Address reprint requests to Dr. Krawitt at the University of Vermont, Given C-246, Burlington, VT 05405-0068, or at edward.krawitt@uvm.edu.
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