Wang Qi-Xia, Yan Li, Ma Xiong
Division of Gastroenterology and Hepatology, Key Laboratory of Gastroenterology and Hepatology, Ministry of Health, State Key Laboratory for Oncogenes and Related Genes, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai Institute of Digestive Disease, Shanghai, China.
J Clin Transl Hepatol. 2018 Mar 28;6(1):48-56. doi: 10.14218/JCTH.2017.00032. Epub 2017 Dec 7.
Autoimmune hepatitis has been considered as a relatively rare immunological liver disease, especially in the Asia-Pacific area. Although the diagnosis criteria and immunosuppressive treatment regimens have been established, there are still some challenges. According to the different presentations, the personalized management of patients who suffer from this disease, including those with chronic or acute severe onset, the autoantibody-negative phenotype and cirrhosis are necessarily descriptive. Each subgroup of patients should receive an individualized therapy. Here, we review the recent studies of autoimmune hepatitis, mainly focusing on the epidemiology and genetics, personalized diagnostics, individualized treatment strategies, special subgroups and outcomes. Most of the research in the literature is based on Japanese and Chinese populations.
自身免疫性肝炎一直被认为是一种相对罕见的免疫性肝病,尤其是在亚太地区。尽管已经确立了诊断标准和免疫抑制治疗方案,但仍存在一些挑战。根据不同的临床表现,对患有这种疾病的患者进行个性化管理,包括慢性或急性重症发病、自身抗体阴性表型和肝硬化患者,是很有必要的。每个患者亚组都应接受个体化治疗。在此,我们综述自身免疫性肝炎的最新研究,主要关注流行病学和遗传学、个性化诊断、个体化治疗策略、特殊亚组和预后。文献中的大多数研究基于日本和中国人群。