Autoimmune hepatitis in children: a report of two cases

In regions where chronic hepatitis B infections are still endemic, autoimmune hepatitis (AIH) is considered rare, and it is even rarer in the paediatric population. AIH in the paediatric population is categorised into type 1 and 2, which are differentiated by their autoantibody profiles. We present...

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Veröffentlicht in:Singapore medical journal 2011-02, Vol.52 (2), p.e27-e30
Hauptverfasser: Basir, N, Yew, T G, Telisinghe, P U, Chong, V H
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description In regions where chronic hepatitis B infections are still endemic, autoimmune hepatitis (AIH) is considered rare, and it is even rarer in the paediatric population. AIH in the paediatric population is categorised into type 1 and 2, which are differentiated by their autoantibody profiles. We present two cases of paediatric type 1 AIH. Two girls aged 11 and 15 years were referred to our hospital with chronic liver disease, one of whom had decompensated disease. Both patients were started on prednisolone. The patient with advanced liver disease died from complications due to infections that included the pandemic novel influenza A H1N1, while the other patient responded to treatment. These two cases serve to highlight the importance of considering AIH in any paediatric patient presenting with features of chronic liver disease, as the response to treatment is good.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Autoantibodies - analysis
Autoimmunity
Biopsy
Child
Diagnosis, Differential
Fatal Outcome
Female
Hepatitis, Autoimmune - diagnosis
Hepatitis, Autoimmune - immunology
Humans
Liver - immunology
Liver - pathology
Photomicrography
title Autoimmune hepatitis in children: a report of two cases
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