Autoimmune hepatitis classification: Difference between revisions
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==Classification== | ==Classification== | ||
According to European Association for the Study of the Liver, there are three types of Autoimmune hepatitis discussed below: | According to European Association for the Study of the Liver, there are three types of Autoimmune hepatitis discussed below: | ||
* | *Autoimmune hepatitis Type-1: | ||
**Common type of AIH (accounts almost for 90% of AIH cases) | **Common type of AIH (accounts almost for 90% of AIH cases) | ||
**Presents at any age | **Presents at any age | ||
** | **Antibodies like ANA, SMA or anti-SLA/LP can be detected | ||
or anti-SLA/LP | **Association with HLA DR3, DR4, and DR13 | ||
**Association with HLA DR3, DR4, and DR13 | **Treatment failure is rare but relapse occur after withdrawl of treatment and long term maintenance therapy is advised | ||
* Autoimmune hepatitis Type 2: | |||
** Accounts for 10% of AIH cases | |||
** Presents usually in childhood and young adulthood | |||
** Antibodies like anti-LKM1, anti-LC1 and rarely anti-LKM3 can be detected | |||
relapse rates after drug withdrawal; the need for long-term maintenance therapy very common | ** Association with HLA DR3 and DR7 frequent failure of treatment and frequent relapse rates after drug withdrawal; the need for long-term maintenance therapy very common • AIH-3: SLA/LP positive, otherwise very similar to AIH-1; often Ro52-antibody positive. Possibly more severe | ||
• AIH-3: SLA/LP positive, otherwise very similar to AIH-1; often Ro52-antibody positive. Possibly more | |||
severe | |||
==References== | ==References== |
Revision as of 18:38, 5 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ;Manpreet Kaur, MD [2]
Overview
Classification
According to European Association for the Study of the Liver, there are three types of Autoimmune hepatitis discussed below:
- Autoimmune hepatitis Type-1:
- Common type of AIH (accounts almost for 90% of AIH cases)
- Presents at any age
- Antibodies like ANA, SMA or anti-SLA/LP can be detected
- Association with HLA DR3, DR4, and DR13
- Treatment failure is rare but relapse occur after withdrawl of treatment and long term maintenance therapy is advised
- Autoimmune hepatitis Type 2:
- Accounts for 10% of AIH cases
- Presents usually in childhood and young adulthood
- Antibodies like anti-LKM1, anti-LC1 and rarely anti-LKM3 can be detected
- Association with HLA DR3 and DR7 frequent failure of treatment and frequent relapse rates after drug withdrawal; the need for long-term maintenance therapy very common • AIH-3: SLA/LP positive, otherwise very similar to AIH-1; often Ro52-antibody positive. Possibly more severe