Suppr超能文献

自身免疫性肝炎:治疗选择与管理综述

Autoimmune Hepatitis: Treatment Options and Management Review.

作者信息

Gadour Eyad

机构信息

Gastroenterology and Hepatology, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR.

出版信息

Cureus. 2021 Jun 16;13(6):e15682. doi: 10.7759/cureus.15682.

Abstract

Autoimmune hepatitis (AIH) is an inflammatory pathology of the liver which leads to liver cirrhosis and death if left untreated and affects a large population across the world with no ethnic discrimination. AIH can be asymptomatic or with non-typical clinical presentation. The diagnosis and categorization of AIH are based on the presence of autoantibodies, specific biochemical indices, and histopathological features. The categorization of AIH further supports therapeutic management decisions. Associated comorbidities are another worrisome in treatment decisions and better outcomes. Liver transplantation is the ultimate choice in case of zero or minimal therapeutic response or severe liver damage. Liver transplantation also has its associated risks and rejection concerns. The international guidelines are designed to provide a complete management outline of AIH for better patient management. There is a disparity seen in these guidelines, especially in terms of dose recommendation. This review designed to lay out an overview of the new guidelines on the diagnosis and management of AIH.

摘要

自身免疫性肝炎(AIH)是一种肝脏炎症性病变,如果不进行治疗,会导致肝硬化和死亡,且在全球范围内影响大量人群,不存在种族歧视。AIH可能无症状或具有非典型临床表现。AIH的诊断和分类基于自身抗体的存在、特定生化指标和组织病理学特征。AIH的分类进一步支持治疗管理决策。合并症在治疗决策和更好的治疗结果方面也是另一个令人担忧的问题。在治疗反应为零或极小或肝脏严重受损的情况下,肝移植是最终选择。肝移植也有其相关风险和排斥问题。国际指南旨在为更好地管理患者提供AIH的完整管理大纲。这些指南存在差异,尤其是在剂量推荐方面。本综述旨在概述AIH诊断和管理的新指南。

相似文献

3
[Autoimmune liver diseases and their overlap syndromes].[自身免疫性肝病及其重叠综合征]
Praxis (Bern 1994). 2006 Sep 6;95(36):1363-81. doi: 10.1024/1661-8157.95.36.1363.
5
[Autoimmune hepatitis and overlap syndrome: diagnosis].[自身免疫性肝炎与重叠综合征:诊断]
Praxis (Bern 1994). 2002 Aug 21;91(34):1339-46. doi: 10.1024/0369-8394.91.34.1339.
10
Autoimmune hepatitis.自身免疫性肝炎
J Hepatol. 2000;32(1 Suppl):181-97. doi: 10.1016/s0168-8278(00)80425-0.

本文引用的文献

1
EASL Clinical Practice Guidelines: Autoimmune hepatitis.欧洲肝脏研究学会临床实践指南:自身免疫性肝炎
J Hepatol. 2015 Oct;63(4):971-1004. doi: 10.1016/j.jhep.2015.06.030. Epub 2015 Sep 1.
3
Autoimmune hepatitis in special patient populations.特殊患者人群中的自身免疫性肝炎。
Best Pract Res Clin Gastroenterol. 2011 Dec;25(6):689-700. doi: 10.1016/j.bpg.2011.09.011.
5
Diagnosis and management of autoimmune hepatitis.自身免疫性肝炎的诊断与管理
Hepatology. 2010 Jun;51(6):2193-213. doi: 10.1002/hep.23584.
7
Autoimmune hepatitis. Part A: pathogenesis.自身免疫性肝炎。A部分:发病机制。
Expert Rev Gastroenterol Hepatol. 2007 Oct;1(1):113-28. doi: 10.1586/17474124.1.1.113.

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验