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2017 ; 96
(34
): e7708
Nephropedia Template TP
gab.com Text
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English Wikipedia
Histological improvement of liver fibrosis in well-treated patients with
autoimmune hepatitis: A cohort study
#MMPMID28834875
Borssén ÅD
; Palmqvist R
; Kechagias S
; Marschall HU
; Bergquist A
; Rorsman F
; Weiland O
; Verbaan H
; Nyhlin N
; Nilsson E
; Werner M
Medicine (Baltimore)
2017[Aug]; 96
(34
): e7708
PMID28834875
show ga
Autoimmune hepatitis (AIH) is a chronic autoimmune liver disease that if left
untreated may lead to the development of cirrhosis. Previous studies on AIH
patients have suggested that fibrosis and even cirrhosis can be reversed by
medical treatment. The aim of this study was to evaluate the efficacy of medical
treatment for protection of developing fibrosis and cirrhosis.A total of 258
liver biopsies from 101 patients (72 women, 29 men) were analyzed by a single
pathologist and classified according to the Ishak grading (inflammation) and
staging (fibrosis) system. Liver histology was stratified according to the
temporal changes of fibrosis stage (increased, decreased, or stable), and groups
were compared.Complete or partial response to medical treatment was 94.9%.
Reduction of fibrosis stage from the first to the last biopsy was seen in 63
patients (62.4%). We found an association between a reduction in the fibrosis
stage and continuous glucocorticoid medication, as well as lowered scores of
inflammation at last biopsy. Twenty-one patients had cirrhosis (Ishak stage 6) at
least in one of the previous biopsies, but only 5 patients at the last
biopsy.Histological improvement is common in AIH patients that respond to medical
treatment, and a reduction or stabilization of fibrosis stage occurs in about 2/3
of such patients.