Seronegative autoimmune hepatitis

Aim of review. To summarize the modern data on the course, diagnostics and treatment approach in seronegative autoimmune hepatitis (SAH). Summary. The number of articles devoted to SAH is quite low at the present time, while all of them are based on the small case series or single cases. Absence of...

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Main Author: A. O. Buyeverov
Format: Article
Language:Russian
Published: Gastro LLC 2018-08-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/132
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author A. O. Buyeverov
author_facet A. O. Buyeverov
author_sort A. O. Buyeverov
collection DOAJ
description Aim of review. To summarize the modern data on the course, diagnostics and treatment approach in seronegative autoimmune hepatitis (SAH). Summary. The number of articles devoted to SAH is quite low at the present time, while all of them are based on the small case series or single cases. Absence of elevated serum γ-globulins, immunoglobulin G and autoantibodies is most commonly seen in acute onset of the disease that is probably caused by delay of humoral immune response of the disease. According to available information one can postulate following: 1) clinical vigilance for SAH, especially at liver diseases with high biochemical activity; 2) performing liver biopsies in all cases of unclear diagnosis; 3) application of standard scoring diagnostic system at autoimmune hepatitis; 4) prescription of immunosuppressive therapy at justified suspicion for SAH (at ruling out of the other causes for liver disease). Conclusion. SAH is a rare type of autoimmune hepatitis which is observed mostly at the acute onset of the disease and require obligatory morphological confirmation.
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spelling doaj-art-294dcdcf22794a568db57d73bb6ce6e52025-02-10T16:14:29ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732018-08-01272273310.22416/1382-4376-2017-27-2-27-33132Seronegative autoimmune hepatitisA. O. Buyeverov0The State Education Institution of Higher Professional Training The First Sechenov Moscow State Medical University ; The State government-financed healthcare institution «Vladimirsky Moscow regional research clinical institute»Aim of review. To summarize the modern data on the course, diagnostics and treatment approach in seronegative autoimmune hepatitis (SAH). Summary. The number of articles devoted to SAH is quite low at the present time, while all of them are based on the small case series or single cases. Absence of elevated serum γ-globulins, immunoglobulin G and autoantibodies is most commonly seen in acute onset of the disease that is probably caused by delay of humoral immune response of the disease. According to available information one can postulate following: 1) clinical vigilance for SAH, especially at liver diseases with high biochemical activity; 2) performing liver biopsies in all cases of unclear diagnosis; 3) application of standard scoring diagnostic system at autoimmune hepatitis; 4) prescription of immunosuppressive therapy at justified suspicion for SAH (at ruling out of the other causes for liver disease). Conclusion. SAH is a rare type of autoimmune hepatitis which is observed mostly at the acute onset of the disease and require obligatory morphological confirmation.https://www.gastro-j.ru/jour/article/view/132серонегативный аутоиммунный гепатитдиагностикалечение
spellingShingle A. O. Buyeverov
Seronegative autoimmune hepatitis
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
серонегативный аутоиммунный гепатит
диагностика
лечение
title Seronegative autoimmune hepatitis
title_full Seronegative autoimmune hepatitis
title_fullStr Seronegative autoimmune hepatitis
title_full_unstemmed Seronegative autoimmune hepatitis
title_short Seronegative autoimmune hepatitis
title_sort seronegative autoimmune hepatitis
topic серонегативный аутоиммунный гепатит
диагностика
лечение
url https://www.gastro-j.ru/jour/article/view/132
work_keys_str_mv AT aobuyeverov seronegativeautoimmunehepatitis