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
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
Dx w autoimmune hepatitis. Have sle. My dr is giving me colchicine for inflammation and pain. Is this usual and will it work?
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
6yr remission autoimmune hepatitis. Post rai hypothyroidism. Safe for me to go on low calorie diet? My BMI is 37.5!
Yes with guidance: You need to work with your physician to be sure the safest approach. Your bmi indicates that you are obese, and i understand your incentive. Your physician will be able to advise you about your restriction and could even send you to a hepatologist.: an expert in liver disease. Your thyroid therapy should be fairly straightforward. ...Read moreSee 1 more doctor answer
Sure. But a bad idea: I have to look at your question with a jaundiced eye. You are fighting for your life (or at least the life of your liver) but you are willing to compromise that for a momentary alcoholic high, is that right? Alcohol is toxic to everyone's liver but your liver, because it's sick, is far more vulnerable. You may survive but it will set your recovery back. Your decision but consider the consequences. ...Read more
What lab tests can be done to rule out autoimmune hepatitis? I got ALT 75 U/L recently and I have back and joint pain. ANA was +ve once and then -ve.
Biopsy: well this was disappointing. http://www.ncbi.nlm.nih.gov/pubmed/19072441 there's a lot of antibody tests. If they are all low or zero level it makes it pretty unlikely. Even a better test if you find something likely to be the cause and fix it.... then that's the answer (hep c, drug associated, heart failure, etc.) Otherwise the only test that can mostly give fairly strong results is liver biopsy. ...Read more
Normally our immune system is our body's army. It attacks harmful trespassers like viruses and bacteria that cause infections. Autoimmune hepatitis is one of the diseases when our army gets confused and attacks the liver causing inflammation. I call it a "friendly fire" disease. Other examples of these include ...Read more
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