Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption of (female) or 60 (male) g alcohol/day for 26 months, with days of abstinence before the onset of jaundice
 - AST >50, AST/ALT >1.5, and both values <400
 - Serum total bilirubin >3.0 mg/dL
Potential confounding factors
 - Possible ischemic hepatitis (e.g., severe upper gastrointestinal bleed, hypotension, or cocaine use within 7 days) or metabolic liver disease (Wilson disease, alpha 1 antitrypsin deficiency)
 - Possible drug-induced liver disease (suspect drug within 30 days of onset of jaundice)
 - Uncertain alcohol use assessment (e.g., patient denies excessive alcohol use)
 - Presence of atypical laboratory tests (e.g., AST or >400 IU/L, AST/ALT <1.5), ANA >1:160 or SMA >1:80

#Autoimmune #Hepatitis #Diagnosis #Hepatology #AIH
Dr. Gerald Diaz @GeraldMD · 4 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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