Respuesta al tratamiento inmunomodulador como criterio diagnostics de cirrosis por hepatitis autoinmunitaria en una adulta colombiana

Laura Camila Cáceres-Delgado, Jesus Andres Ortiz-Henao, Mayut Delgado-Galeano, Jaime Alberto Gómez-Ayala

Producción científica: Artículos / NotasArtículo Científicorevisión exhaustiva

Resumen

Autoimmune hepatitis is a progressive inflammatory disease that directly attacks the hepatocytes, in the long term and without timely treatment leads to cirrhosis. Worldwide, it is estimated between 11.6-35.9 cases/100,000 inhabitants, therefore, in medical practice it is low considered in the diagnosis of chronic hepatitis; because the simplified diagnostic criteria for this disease are complex, insofar as they focus on costly diagnostic means, and in low- and middle-income countries, it makes difficult the access, the opportunity for diagnosis and treatment. In addition, it is important to consider the sensitivity of these diagnostic means. This paper reports the clinical case of an adult woman with clinical features of cirrhosis due to autoimmune hepatitis, in which the use of recommended diagnostic methods did not directly favor the diagnosis of autoimmune disease. This clinical case is atypical, highlighting the clinical improvement with immunosuppressive treatment, considered a single diagnostic criterion of the classical criteria of 1999 to determine the diagnosis of autoimmune hepatitis, due to the high sensitivity of the response to the treatment evidenced at 48 hours. It is important to consider the initiation of immunosuppressive treatment of hepatitis autoinmunitaria, once the main causes of chronic liver disease have been ruled out, despite not meeting the diagnostic criteria, thus slowing the progression of the disease and a fatal outcome in the patient.

Título traducido de la contribuciónResponse to immunomodulator treatment as diagnostic criterion of cirrhosis due to autoimmune hepatitis in a Colombian adult.
Idioma originalEspañol
Páginas (desde-hasta)460-470
Número de páginas11
PublicaciónMedicina Interna de Mexico
Volumen35
N.º3
DOI
EstadoPublicada - 2019

Palabras clave

  • Antibodies
  • Antinuclear
  • Autoimmune hepatitis
  • Liver cirrhosis

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