Cited by 189Liver Diseases and ImmunityIgG4-Related and Inflammatory DiseasesPediatric Hepatobiliary Diseases and Treatments

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Autoimmune hepatitis with incidental histologic features of bile duct injury

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Czaja, Albert J., Carpenter, Herschel A.·2001·Hepatology

DOI 10.1053/jhep.2001.27562

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Abstract

Bile duct changes are atypical of autoimmune hepatitis. Our aims were to assess the frequency and significance of these changes in classical disease. Liver biopsy specimens were reviewed under code from 84 patients who satisfied international scoring criteria for autoimmune hepatitis, and the findings were correlated with clinical features and outcome. Twenty patients (24%) had biliary changes, including 6 with destructive cholangitis, 4 with ductopenia, and 10 with nondestructive cholangitis. Patients with and without bile duct changes had similar laboratory findings. Diagnostic scores for autoimmune hepatitis were lower in patients with bile duct changes (16.6 ± 0.6 vs. 19.1 ± 0.2, P < .0001). The frequencies of scores sufficient for a definite (80% vs. 97%, P = .03) or probable diagnosis (20% vs. 3%, P = .03) were also less in this group. Patients with destructive cholangitis and/or ductopenia responded as well to therapy as patients with nondestructive cholangitis, and outcomes in each group were similar to those of patients without biliary changes. We concluded that biliary changes can occur in classic autoimmune hepatitis, and they are not associated with distinctive clinical features or treatment response. They may be coincidental findings associated with classic disease or weak expressions of a variant syndrome. In the absence of a cholestatic clinical syndrome, they do not compel a different management strategy.

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[11]11. Czaja AJ, Carpenter HA. Autoimmune hepatitis. In: MacSween RNM, Anthony PP, Scheuer PJ, Burt AD, Portmann B, Ishak KG, eds. Pathology of the Liver. 4th edition. Edinburgh: Churchill Livingstone (in press).

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Authors: Czaja, A. J., & Carpenter, H. A.
Affiliations: Mayo Clinic (US)
Corresponding author: Czaja, Albert J.
ORCID: Czaja, Albert J.
Venue: Hepatology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2001-10
Volume: 34
Issue: 4
Pages: 659-665
ISSN: 0270-9139 (ISSN-L)
DOI: 10.1053/jhep.2001.27562
OpenAlex: W2095515459
Semantic Scholar: 9a8a164f90e4ec1627abaf299b760e0935168d5c
Cited by: 189
References: 47
Citations by year: 2025: 5 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 6 · 2020: 10 · 2019: 4 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 11 · 2012: 10
FWCI: 5.71
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 5083 d)
Locations: Hepatology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
Health Sciences › Medicine › Rheumatology › IgG4-Related and Inflammatory Diseases
Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
Keywords: autoimmune hepatitis, bile duct injury, cholangitis, ductopenia, liver biopsy histology, treatment response, clinical outcomes, cholestatic syndrome
MeSH terms: Adolescent, Adult, Aged, Bile Ducts, Cholangitis, Female, Humans, Male, Middle Aged, Treatment Outcome, Hepatitis, Autoimmune

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Autoimmune hepatitis with incidental histologic features of bile duct injury

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