Doctor insights on:
Autoimmune Hepatitis Extended Panel
The immune system developed to tell our own, normal cells (self) from foreign and abnormal cells (non-self). This lets the immune system eliminate viruses, bacteria, fungi and cancer cells from our body without harming normal cells. Sometimes the immune system fails to tell self from non-self and it attacks normal cells, for example in ...Read more
No: This should not happen as the vaccine has reactivity with your immune system, not your liver. ...Read more
Yes: Liver function tests are often elevated in autoimmune hepatitis. This is a non- specific test. If the liver function tests are elevated additional diagnostic tests will be necessary. The anti smooth muscle antibody is one of the most important in pointing to this diagnosis. Tests for other liver diseases such as hepatitis and primary biliary cirrhosis are usually part of the evaluation. ...Read more
HBV test results: Hepatitis B Surface Antigen: Nonreactive; Hepatitis B Core Antibodies: Reactive; HBV PCR: Negative. Need any medication or vaccine?
Excellent question: and your story stumps many a doctor, often! :) a lot of the recommendations depend on - are you someone with risk factors for HBV? is this the first time that it has been checked? are your liver enzymes normal? are you about to undergo any procedures/ treatments that could put you at risk for HBV? If you have no sig risk factors, yes, I'd vaccinate you if there's potential for exposure. ...Read more
No: It causes your immune system to react, not your liver. ...Read more
CONCLUSIONS: Successful completion of pregnancy is a realistic expectation for patients with well controlled aih. Treatment options vary, but azathioprine appears to be generally safe and without adverse outcomes for mother or baby. Vigilance is required, however, and patients need to be monitored carefully during pregnancy and for several months post partum. http://gut.bmj.com/content/48/1/97.abstract. ...Read more
Hepatitis Panels: Liver function tests are not really used to diagnose viral hepatitis, but elevated ast, alt, ggt, alkaline phos, bili can indicate "something" is wrong and needs evaluation::. Hepatitis panels for anti-bodies, core anti-bodies, and antigens for each of the different types of hepatitis (a, b, c, etc.) are used to indicate whether viral hepatitis is present and the severity/length of the infection. ...Read moreSee 1 more doctor answer
Hepatitis Be Ab :non- reactive
Hepatitis Be Ag:reactive
Hepatitis Bs Ag:non - reactive
Quantitative HBV PCR:not detected what it means?
Dx w autoimmune hepatitis. Have sle. My dr is giving me colchicine for inflammation and pain. Is this usual and will it work?
Need specific test: You need to be testing for graves disease - there is no shotgun test for all autoimmune disorders. ...Read more
Can I have hepatitis vaccine if my ALT is 80 U/L and doc is not sure about autoimmune hepatitis? Do I need to do further blood works?
Yes: Few causes of hepatitis: alcohol, fatty liver (obesity), viral & autoimmune. Check hepatitis B profile (HbsAg & HbsAb) if negative can have vaccine. Check anti-smooth muscle antibody & anti liver/kidney microsomal anti-body for diagnosis of autoimmune hepatitis. (ANA alone is not enough & your level is low). I know Bangladesh, see a Hepatologist for evaluation. Follow up with me @ healthTap.com ...Read moreSee 2 more doctor answers
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