Diseases of the liver and biliary tract

Autoimmune hepatitis: diagnosis

Some types of autoimmune hepatitis do not have a clearly established cause, others are associated with known agents such as thienyl acid (diuretic) or with diseases such as hepatitis C and D. In general, in autoimmune hepatitis of unknown etiology, there is a more vivid clinical picture for him a higher activity of serum transaminases and a level of y-globulin is characteristic; histological changes in liver tissue indicate a higher activity than in cases with known etiology, and the response to corticosteroid therapy is better.

Autoimmune Hepatitis

Autoimmune hepatitis is a chronic hepatitis of unknown etiology, in the pathogenesis of which the leading role is played by autoimmune mechanisms. The disease is more common in women (ratio of men and women with autoimmune hepatitis 1: 3), the most commonly affected age is 10-30 years.

Chronic hepatitis D

Chronic hepatitis D is the outcome of acute viral hepatitis D, occurring as a superinfection in chronic carriers of HBV markers. The frequency of chronic HDV infection is 60-70%.

Chronic hepatitis: classification

In 1968 De Groot et al. In the journal Lancet published a classification of chronic hepatitis, which was approved by the European Association for the Study of the liver. The classification is based on the isolation of morphological variants of chronic hepatitis. The authors proposed to distinguish the following morphological variants of chronic hepatitis.

Chronic hepatitis: causes

The most common cause of chronic hepatitis is acute acute viral hepatitis. Currently, there is an opportunity to chronicle four of the seven forms of acute viral hepatitis - B, C, D, G.

Chronic hepatitis

Chronic hepatitis is a polyetiological diffuse inflammatory process in the liver that lasts for more than 6 months (Recommendations of the European (Rome, 1988) and World (Los Angeles, 1994) congresses of gastroenterologists). Unlike cirrhosis of the liver in chronic hepatitis does not violate the architectonics of the liver.

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