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Correspondence
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Volume 334:923-924 April 4, 1996 Number 14
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Autoimmune Hepatitis

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 by Meyer zum Büschenfelde, K.-H.
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To the Editor: Meyer zum Büschenfelde and Lohse (Oct. 12 issue)1 suggest that patients with mild autoimmune hepatitis should be treated. However, few data support the contention that such patients will benefit. Although the results of large controlled trials support the use of corticosteroids in the treatment of autoimmune hepatitis,2,3,4 these beneficial effects are fully established only in patients with the most severe histologic manifestations.5 The effects of corticosteroids in reducing mortality appeared to be confined to patients whose initial live biopsies revealed bridging necrosis, multilobular necrosis, or cirrhosis. There were no deaths among patients whose initial liver biopsies revealed . . . [Full Text of this Article]

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