Children's Hospital of Philadelphia, Division of Gastroenterology, Hepatology, and Nutrition, Philadelphia, PA.
Children's Hospital of Philadelphia, Division of Gastroenterology, Hepatology, and Nutrition, Philadelphia, PA; Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
J Pediatr. 2019 Apr;207:244-247. doi: 10.1016/j.jpeds.2018.12.070. Epub 2019 Feb 2.
Current guidelines recommend steroids for induction of remission in all children diagnosed with autoimmune hepatitis regardless of the clinical presentation. In this report, we describe our experience in treating selected asymptomatic children with autoimmune hepatitis using a steroid-free regimen; this treatment strategy was safe and effective in inducing remission.
目前的指南建议,无论临床表现如何,所有被诊断为自身免疫性肝炎的儿童都应使用类固醇诱导缓解。在本报告中,我们描述了我们使用无类固醇方案治疗选定无症状自身免疫性肝炎儿童的经验;这种治疗策略在诱导缓解方面是安全有效的。