Autoimmune hepatitis:Appraisal of current treatment guidelines
Autoimmune hepatitis:Appraisal of current treatment guidelines作者机构：Division of Gastroenterology and HepatologyDepartment of MedicineState University of New YorkUpstate Medical University
出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)
年 卷 期：2018年第10卷第12期
页 面：911-923页
主 题：Autoimmune hepatitis Treatment Hypergammaglobulinemia Autoantibodies Azathioprine
摘 要：Autoimmune hepatitis affects patients of all ages and gender, across all geographic regions. Although still rare, its incidence and prevalence are increasing. Genetic predisposition conveyed by human leucocyte antigen is a strong risk factor for the disease and may be responsible in part for the wide variation in presentation in different geographic regions. Our understanding of the underlying pathogenic mechanisms is evolving and may lead to development of more targeted immunotherapies. Diagnosis is based on elevated levels of serum aminotransferases, gamma globulins, autoantibodies and characteristic findings on histology. Exclusion of other causes of chronic hepatitis is *** undiagnosed disease is associated with poor outcomes, it is readily treatable with timely immunosuppressive therapy in the majority of *** guidelines are available to guide management but there exists a disparity in the standard treatment regimens. This minireview aims to review the available guidelines and summarize the key recommendations involved in management of this complex autoimmune disease.
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