Doctor insights on:
Autoimmune Hepatitis Pathology
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
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
No: Autoimmune thyroiditis can occur in young children, adolescents and adults of any age. We see it most often in children who have a family history of that condition. In many children that we have seen, it was mild but symptomatic enough that their mother recognized the condition and sought treatment. Even with mild disease in children the treatment can have profound benefits. ...Read moreSee 1 more doctor answer
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
Yes: Unlike most viral hepatitides, hepatitis b is associated with liver cancer regardless of the presence of cirrhosis. Therefore, blood test (i.e. Alpha-fetoprotein) and imaging study (i.E abdominal ultrasound) are recommended every 6 months beginning at the age of 40. ...Read moreSee 2 more doctor answers
Bili ALT AST have been elevated on off for a yr confirmed mild diffuse fatty infiltration. hep viruses and autoimmune disease ruled out. Cirrhosis?
Possible: Cirrhosis is advanced liver disease and can be the eventual outcome of long-standing liver inflammation. The only way to detect early signs of cirrhosis would be liver biopsy. Imaging studies and endoscopy only find advanced disease. You should be seeing a specialist who can advise you on cause, risks and treatments. ...Read moreSee 1 more doctor answer
Acute heart failure/myopathy from an autoimmune disease or virus/bacteria... Wouldn't this cause an abnormal CBC, C-RP & ESR??
Not necessarily: All these are general tests , not specific to a certain disease, you can have all what you mentioned with normal values of the said tests, ...Read more
What does this mean: Hep B Surface Antibody Borderline, Hep B Surface Antigen non-reactive, Hep B Core AB non-reactive? All other labs normal.
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
Autoimmune pancreatitis caused by autoimmune thyroiditis. Will taking out thyroid fix the pancreatitis?
NO: Autoimmune thyroid is caused by the immune system attacking the thyroid. Autoimmune pancreatitis is caused by the immune system attacking the pancreas. consequently, if you remove the thyroid the immune system is still present and still causing autoimmunity to the pancreas. ...Read moreSee 2 more doctor answers
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