dc.creator | Dalekos G.N., Gatselis N.K., Koukoulis G.K. | en |
dc.date.accessioned | 2023-01-31T07:49:19Z | |
dc.date.available | 2023-01-31T07:49:19Z | |
dc.date.issued | 2020 | |
dc.identifier | 10.1136/bcr-2020-238400 | |
dc.identifier.issn | 1757790X | |
dc.identifier.uri | http://hdl.handle.net/11615/73014 | |
dc.description.abstract | Non-alcoholic fatty liver disease (NAFLD) is nowadays the most common liver disease worldwide. Autoimmune hepatitis (AIH) is a relatively rare disease of the liver characterised by female predominance, circulating autoantibodies, polyclonal hypergammaglobulinaemia, interface hepatitis on histology and favourable response to immunosuppression. The possibility of an additional AIH diagnosis in patients with NAFLD (NAFLD/AIH concurrence) or the presence of AIH alone instead of a supposed NAFLD diagnosis represents a challenge for clinicians. We report herein two adult patients (a 33-year-old woman and a 59-year-old man) with a previous NAFLD diagnosis who proved finally to suffer from AIH alone. These two representative cases indicate how difficult and complicated could be sometimes the diagnosis of patients with AIH highlighting the range of disease manifestations and severity while they also underline that although NAFLD is by far the most frequent chronic liver disease this could not be always the case. © | en |
dc.language.iso | en | en |
dc.source | BMJ Case Reports | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85098170863&doi=10.1136%2fbcr-2020-238400&partnerID=40&md5=7439a2772f038f17cf79550db4bbb41f | |
dc.subject | alanine aminotransferase | en |
dc.subject | alkaline phosphatase | en |
dc.subject | antinuclear antibody | en |
dc.subject | aspartate aminotransferase | en |
dc.subject | bilirubin | en |
dc.subject | calcium | en |
dc.subject | gamma glutamyltransferase | en |
dc.subject | immunoglobulin A | en |
dc.subject | immunoglobulin M | en |
dc.subject | mycophenolate mofetil | en |
dc.subject | neutrophil cytoplasmic antibody | en |
dc.subject | prednisolone | en |
dc.subject | smooth muscle antibody | en |
dc.subject | thyroglobulin antibody | en |
dc.subject | thyroid peroxidase antibody | en |
dc.subject | thyrotropin | en |
dc.subject | vitamin D | en |
dc.subject | antinuclear antibody | en |
dc.subject | immunoglobulin G | en |
dc.subject | immunosuppressive agent | en |
dc.subject | mycophenolic acid | en |
dc.subject | prednisolone | en |
dc.subject | adult | en |
dc.subject | alanine aminotransferase blood level | en |
dc.subject | Albanian (people) | en |
dc.subject | alkaline phosphatase blood level | en |
dc.subject | antibody detection | en |
dc.subject | antibody titer | en |
dc.subject | Article | en |
dc.subject | aspartate aminotransferase blood level | en |
dc.subject | autoimmune hepatitis | en |
dc.subject | bilirubin blood level | en |
dc.subject | body mass | en |
dc.subject | calcium intake | en |
dc.subject | case report | en |
dc.subject | Caucasian | en |
dc.subject | clinical article | en |
dc.subject | differential diagnosis | en |
dc.subject | dyslipidemia | en |
dc.subject | female | en |
dc.subject | ferritin blood level | en |
dc.subject | gamma glutamyl transferase blood level | en |
dc.subject | genetic screening | en |
dc.subject | human | en |
dc.subject | hypergammaglobulinemia | en |
dc.subject | hypertension | en |
dc.subject | hypertransaminasemia | en |
dc.subject | immunosuppressive treatment | en |
dc.subject | impaired glucose tolerance | en |
dc.subject | jaundice | en |
dc.subject | liver biopsy | en |
dc.subject | liver stiffness | en |
dc.subject | male | en |
dc.subject | morbid obesity | en |
dc.subject | nonalcoholic steatohepatitis | en |
dc.subject | physical examination | en |
dc.subject | priority journal | en |
dc.subject | treatment duration | en |
dc.subject | vitamin supplementation | en |
dc.subject | autoimmune hepatitis | en |
dc.subject | biopsy | en |
dc.subject | blood | en |
dc.subject | complication | en |
dc.subject | diagnostic error | en |
dc.subject | diagnostic imaging | en |
dc.subject | differential diagnosis | en |
dc.subject | elastography | en |
dc.subject | immunology | en |
dc.subject | liver | en |
dc.subject | liver function test | en |
dc.subject | metabolic syndrome X | en |
dc.subject | middle aged | en |
dc.subject | nonalcoholic fatty liver | en |
dc.subject | pathology | en |
dc.subject | Adult | en |
dc.subject | Antibodies, Antinuclear | en |
dc.subject | Biopsy | en |
dc.subject | Diagnosis, Differential | en |
dc.subject | Diagnostic Errors | en |
dc.subject | Elasticity Imaging Techniques | en |
dc.subject | Female | en |
dc.subject | Hepatitis, Autoimmune | en |
dc.subject | Humans | en |
dc.subject | Immunoglobulin G | en |
dc.subject | Immunosuppressive Agents | en |
dc.subject | Liver | en |
dc.subject | Liver Function Tests | en |
dc.subject | Male | en |
dc.subject | Metabolic Syndrome | en |
dc.subject | Middle Aged | en |
dc.subject | Mycophenolic Acid | en |
dc.subject | Non-alcoholic Fatty Liver Disease | en |
dc.subject | Obesity, Morbid | en |
dc.subject | Prednisolone | en |
dc.subject | BMJ Publishing Group | en |
dc.title | Non-alcoholic steatohepatitis or autoimmune hepatitis? Sometimes a closer look under the surface is needed | en |
dc.type | journalArticle | en |