Doctor insights on:
Primary Autoimmune Hepatitis Panel
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
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
Are elevated ANA levels and Hepatitis C diagnosis enough to warrant liver biopsy to test for autoimmune hepatitis?
Seems unlikely: If you have a diagnosis of hepatitis C(HCV), it seems unlikely that you have both autoimmune hepatitis(AIH) and HCV(though not completely impossible). Realize that ANA levels are incredibly specific, a found (+) at low levels in >20% of healthy individuals. In fact up to 5% of HCV patients have (+) ANA levels without AIH. You may need the liver biopsy to better stage the effect of HCV on liver. ...Read more
Need specific test: You need to be testing for graves disease - there is no shotgun test for all autoimmune disorders. ...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
Mono serology: You can do a spot test for heterophile antibody or send the blood to lab for it.You can also send the blood for epstrin barr antigen which is not normally present in blood.You can also do immunoglobulin m(igm)test which shows acute infection.Igg will be positive for past infection with mononucleosis. ...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?
Surprise: When the serology test was first used it was thought to be diagnostic. Eventually it was found that most people were positive. It appears that the eb virus is an opportunist organism that is "waiting in the wings" for some body chemistry that provides its advantage. Then the serology titre (concentrration) goes up as the organism becomes active. ...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
- Talk to a doctor live online for free
- Autoimmune panel
- Autoimmune disorders panel
- Autoimmune hepatitis
- Ask a doctor a question free online
- Acute hepatitis panel
- Hepatitis panel 4
- Autoimmune hepatitis with cirrhosis
- Minocycline autoimmune hepatitis
- Autoimmune hepatitis extended panel