【自身免疫性肝炎的诊断】

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Pub Date : 2023-02-25 DOI:10.4166/kjg.2023.001
Jeong Han Kim
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引用次数: 0

摘要

自身免疫性肝炎(AIH)是一种病因不明的免疫介导的炎症性肝病。AIH的诊断是基于特征性的临床和实验室结果(肝酶升高和高γ球蛋白血症)、特征性自身抗体的存在和相容的组织学异常。AIH缺乏一个标志性的诊断标志物,诊断需要排除其他疾病(病毒性肝炎、酒精性肝病、非酒精性脂肪性肝炎、药物性肝损伤、Wilson病和遗传性血色素沉着症)。因此,临床医师、检验医学专家和病理学家之间的合作对于诊断非常重要。2022年12月,韩国肝脏学会(KASL)制定了临床实践指南。本文就这些指南的诊断部分进行综述。
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[Diagnosis of Autoimmune Hepatitis].

Autoimmune hepatitis (AIH) is an immune-mediated inflammatory liver disease with an uncertain cause. The diagnosis of AIH is based on the characteristic clinical and laboratory findings (elevated liver enzyme and hypergammaglobulinemia), the presence of characteristic autoantibodies, and compatible histological abnormalities. AIH lacks a signature diagnostic marker, and the diagnosis requires the exclusion of other diseases (viral hepatitis, alcoholic liver disease, non-alcoholic steatohepatitis, drug-induced liver injury, Wilson's disease, and hereditary hemochromatosis). Therefore, collaboration between the clinical physician, laboratory medicine experts, and pathologists is important for a diagnosis. In December 2022, the Korean Association for the Study of the Liver (KASL) clinical practice guidelines were established. This review article summarizes the diagnosis part of these guidelines.

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CiteScore
1.20
自引率
0.00%
发文量
83
审稿时长
24 weeks
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