Diagnosis and differential diagnosis of autoimmune hepatitis
10.3969/j.issn.1001-5256.2020.04.002
- VernacularTitle:自身免疫性肝炎的鉴别与诊断
- Author:
Nana CUI
1
;
Qixia WANG
Author Information
1. Division of Gastroenterology and Hepatology & Shanghai Institute of Digestive Diseases, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200001, China
- Publication Type:Research Article
- Keywords:
hepatitis, autoimmune;
diagnosis, differential;
diagnosis
- From:
Journal of Clinical Hepatology
2020;36(4):724-727
- CountryChina
- Language:Chinese
-
Abstract:
Autoimmune hepatitis (AIH) is a chronic persistent liver inflammatory disease associated with autoimmune response. AIH is commonly seen in women, and those without intervention may progress to liver cirrhosis and liver cancer. The main histological feature of AIH is moderate to severe interfacial hepatitis with lymphocyte-plasma cell infiltration. The clinical manifestations of AIH have obvious heterogeneity, and it is difficult to differentiate AIH from other liver diseases with similar clinical, biochemical, serological, and histological features. Misdiagnosis may seriously affect the prognosis of patients. This article reviews the key points in the diagnosis and differential diagnosis of AIH, hoping to provide help for clinical diagnosis and treatment.