Clinical and histological features of autoantibody-negative autoimmune hepatitis in Chinese patients: A single center experience

Autor: Hai Li, Lei Shen, Jing Hua, Xiong Ma, Shan Shan Huang, Shen Li, Wei Jun Jiang, De Kai Qiu, Qi Xia Wang, Xiao Xiao, Haiyan Zhang, Qi Miao
Rok vydání: 2013
Předmět:
Zdroj: Journal of Digestive Diseases. 14:175-180
ISSN: 1751-2972
DOI: 10.1111/1751-2980.12022
Popis: Objective This study aimed to define the clinical features of Chinese patients with autoantibody-negative autoimmune hepatitis (AIH) and to refine the diagnosis and management of these atypical patients in a single Chinese center. Methods A retrospective evaluation of 167 Chinese patients with AIH was performed. Patients meeting comprehensive criteria with the absence of antinuclear antibodies, smooth muscle antibodies, liver-kidney microsomal-1 antibodies and antimitochondrial antibodies were defined as autoantibody-negative patients. Results In total, 17 (10.2%) of the 167 patients with AIH were autoantibody-negative. The general status and biochemical tests between the classical and autoantibody-negative patients were not significantly different (P > 0.05). Serum immunoglobulin G levels of the autoantibody-negative AIH patients were lower than those of the classical AIH ones (P = 0.004). There was no significant difference in the histological inflammatory grades between the two groups; however, advanced histological stages were more common in the autoantibody-negative AIH group (P
Databáze: OpenAIRE
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