Autoimmune hepatitis.

Published

Journal Article (Review)

Autoimmune hepatitis is a disease of the hepatic parenchyma that can present in acute or chronic forms. In common with many autoimmune diseases, autoimmune hepatitis is associated with non-organ-specific antibodies in the context of hepatic autoimmunity. This dichotomy has made definition of a unifying hypothesis in the pathophysiology of the disease difficult, although data from the past 8 years have drawn attention to the role of regulatory T cells. Several triggers have been identified, and the disease arises in genetically susceptible individuals. Clinical and biochemical remission is achievable in up to 85% of cases. For the remaining patients, alternative immunosuppression strategies are an option. Liver transplantation provides an excellent outcome for patients with acute liver failure or complications of end-stage liver disease, including hepatocellular carcinoma. Variant or overlapping syndromes are worthy of consideration when unexpected disease features arise.

Full Text

Cited Authors

  • Heneghan, MA; Yeoman, AD; Verma, S; Smith, AD; Longhi, MS

Published Date

  • October 2013

Published In

Volume / Issue

  • 382 / 9902

Start / End Page

  • 1433 - 1444

PubMed ID

  • 23768844

Pubmed Central ID

  • 23768844

Electronic International Standard Serial Number (EISSN)

  • 1474-547X

International Standard Serial Number (ISSN)

  • 0140-6736

Digital Object Identifier (DOI)

  • 10.1016/s0140-6736(12)62163-1

Language

  • eng