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J Korean Med Assoc > Volume 48(5); 2005 > Article
Lee: Autoimmune Hepatitis ; Recent Korean Trend

Abstract

Autoimmune hepatitis is defined as an unresolving, predominantly periportal hepatitis of unknown etiology, usually with hypergammaglobulinemia and tissue autoantibodies, which is responsive to immunosuppressive therapy. Clinical manifestations, diagnostic criteria, differential diagnosis and treatment guideline have been described. In Korea the prevalence of autoimmune hepatitis seemed to be lower than that in western countries, but clinical features were similar, except for more severe female preponderance. According to recent clinical survey, mean age is 47.8, and MF ratio is 9:1. Mostly type 1, and had cirrhosis in 22% at the time of diagnosis. 16% of patients had associated immunologic disorders. The diagnosis is definite is 47.3%, and probable in 51.3%. 72% were treated with immunosuppressive therapy with remission rate of 70%. To understand the clinical features of autoimmune hepatitis adquately, nationalwide prospective clinical and epidemiological studies are needed urgently.

References

1. McFarlane IG. Definition and Classification of Autoimmune Hepatitis. Semin Liver Dis 2002;22:317-324.

3. Johnson PJ, McFarlane IG, Eddleton ALWF. The natural course and heterogenecity of autoimmune type chronic active hepatitis. Semin Liver Dis 1991;11:187-196.

4. McFarlane IG. Autoimmune hepatitis: diagnostic criteria, subclassification, and clinical features. Clin Liver Dis 2002;6:317-333.

6. Czaja AJ, Ireese DK. AASLD Practice guidelines. Diagnosis and treatment of autoimmune hepatitis. Hepatology 2002;36:479-497.

7. Ben-Ari Z, Czaja AJ. Autoimmune hepatitis and its variant syndromes. Gut 2001;49:589-594.

8. Carpenter HA, Czaja AJ. The role of histologic evaluation in the diagnosis and management of autoimmune hepatitis and its variants. Clin Liver Dis 2002;6:685-705.

9. Liu ZX, Kaplowitz N. Immune-mediated drug-induced liver disease. Clin Liver Dis 2002;6:755-774.

10. Alrarez F, Bianchi FB, Bianchi L, Burroughs AK, Cancado EL, Zeniya M, et al. International Autoimmune Hepatitis Group Report: review of criteria for diagnosis of autoimmune hepatitis. J Hepatol 1999;31:929-938.

12. Kaymakoglu S, Cakaloglu Y, Demir K, Turkoglu S, Badur S, Okten A, et al. Is severe cryptogenic chronic hepatitis similar to autoimmune hepatitis? J Hepatol 1998;28:78-83.

13. Beuers U. Hepatic overlap syndrome. J Hepatol 2005;42:S93-S99.

14. Czaja AJ. Treatment strategies in autoimmune hepatitis. Clin Liver Dis 2002;6:799-824.

15. Czaja AJ, Rokela J, Luderig J. Features reflective of early prognosis in corticosteroid-treated severe autoimmune chronic active hepatitis. Gastroenterology 1988;95:448-453.

16. Ahmed M, Mutimer D, Hathaway M, Hubscher S, McMaster P, Elias E. Liver Transplantation for autoimmune hepatits; a 12-year experience. Transplantation Proc 1997;29:496.

17. Newberger J. Transplantation for autoimmune hepatitis. Semin Liver Dis 2002;22:365-385.

18. Vierling JM, Flores PA. Evolving new therapies of autoimmune hepatitis. Clin Liver Dis 2002;6:825-850.

21. Boberg KM. Prevalence and epidemiology of autoimmune hepatitis. Clin Liver Dis 2002;6:635-647.

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*TMT; thiopurine methyltansferase

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