Morning Report 11/24/15

  • Autoimmune hepatitis: Type 1 (associated with Anti-smooth muscle antibody which is very specific) and Type 2 (Anti-LKM), more common in women 4:1, can also be associated with elevated IgG
  • Diagnose autoimmune hepatitis with liver biopsy showing interface hepatitis
  • Treatment for autoimmune hepatitis includes prednisone plus azathioprine  or prednisone alone, liver transplantation when no contraindications
  • Generally lupus is not usually a cause of liver disease but can be associated with autoimmune hepatitis
  • SLE: Anti-DS DNA is used to follow disease progression

 

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