Autoimmune hepatitis with cholestasis; An uncommon presentation in elderly

A. Nimalan, S. Sivansuthan
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Abstract

Auto immune Hepatitis (AIH) with cholestatic jaundice is a rare entity. AIH is characterized by inflammatory changes in liver with the presence of circulating auto antibodies and hyperglobulinemia. Here we report a case of 67-years-old lady who presented with Acute autoimmune hepatitis with cholestatic jaundice with early accurate diagnosis and early initiation of corticosteroids recovered successfully. Even though it is very rare AIH should not be overlooked in patients with cholestatic jaundice without viral/drug induced hepatitis.
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自身免疫性肝炎伴胆汁淤积;老年人少见
自身免疫性肝炎(AIH)合并胆汁淤积性黄疸是一种罕见的疾病。AIH的特点是肝脏炎症改变,伴有循环自身抗体和高球蛋白血症。在此,我们报告一例67岁的女性,她表现为急性自身免疫性肝炎并胆汁淤积性黄疸,早期准确诊断并早期开始使用皮质类固醇,成功康复。尽管AIH在无病毒/药物性肝炎的胆汁淤积性黄疸患者中非常罕见,但也不应忽视。
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