Department of Medicine, University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Best Pract Res Clin Gastroenterol. 2011 Dec;25(6):665-71. doi: 10.1016/j.bpg.2011.10.004.
The clinical spectrum of autoimmune hepatitis is very wide. In addition, autoimmune hepatitis can present in any age group. Diagnosis is usually made by a combination of clinical, laboratory and histological features. Diagnostic scores can help both in the daily diagnostic work-up of patients, and in allowing comparability of clinical scientific studies. However, all diagnostic scores have limitations in individual cases, which are discussed in this review.
自身免疫性肝炎的临床谱非常广泛。此外,自身免疫性肝炎可发生于任何年龄组。诊断通常通过临床、实验室和组织学特征的组合来确定。诊断评分有助于患者的日常诊断评估,并允许临床科学研究的可比性。然而,所有诊断评分在个别情况下都有其局限性,本文对此进行了讨论。