Case Report
Copyright ©2006 Baishideng Publishing Group Co.
World J Gastroenterol. Mar 14, 2006; 12(10): 1637-1640
Published online Mar 14, 2006. doi: 10.3748/wjg.v12.i10.1637
Table 1 Autoimmune hepatitis: Revised scoring system (1999)
May 2000January 2002
Gender: male00
ALP/AST: 249/960 = 0.25 (admission May 2000); 3.85 (admission Jan 2002)+2-2
ALP/AST: 249/160 = 1.55 (discharge May 2000)0
ALP/ALT: 249/1 510 = 0.16 (admission May 2000); 4.15 (admission Jan 2002)+2-2
ALP/ALT: 249/483 = 0.51 (discharge May 2000)+2
IgG Assay: 1 590 (May 2000); 1 670 (January 2002)+2+2
ANA, SMA, or LKM1: negative00
AMA: negative00
Hepatitis markers: negative+3+3
Drug history: negative+1+1
Alcohol intake: negative+2+2
Histology: Chronic hepatitis with moderate activity. Fibrotic portal tracts, periportal fibrosis with portal-portal septa, but intact architecture. Biliary ductswithout any significant morphological alterations.+3+3
Response to therapy: complete+2+2
Other autoimmune diseases: (thyroiditis)+2+2
Score:2111
(definite)(probable)
Table 2 Extrahepatic associations of AIH
Frequent:Autoimmune thyroidRare: Rheumatoid arthritis
diseaseLichen planus
Ulcerative colitisDiabetes mellitus
SynovitisCREST syndrome
AutoimmuneAutoimmune
Hemolytic anemiaThrombocytopenic purpura
Vitiligo
Alopecia