2016, Number 1
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Invest Medicoquir 2016; 8 (1)
Evolution of patients with autoimmune hepatitis after treatment
Rodríguez RH, Samada SM, Hernández PJC, Pérez GT, Cruz HZD, Chao GL
Language: Spanish
References: 14
Page: 4-12
PDF size: 55.82 Kb.
ABSTRACT
Introduction. Autoimmune hepatitis is a chronic liver disease that evolves towards liver cirrhosis. A timely immunosuppressive therapy permits to stop or delay the development of the disease to more advanced stages.
Methods. It was a descriptive, retrospective and prospective study of 24 patients with a diagnosis of autoimmune hepatitis. They were seen in outpatients at the Center of Medical-Surgical Research between November 2010 and June 2013. They received treatment for an average period of seven years, with the aim of determining clinical and demographic characteristics, as well as the relationship between the response to the treatment and the development of the disease.
Results. All the studied patients were females and the average age was 36 years. At diagnosis, the predominant clinical stage was compensated liver cirrhosis. When evaluated, five patients were at the chronic hepatitis stage, four of them had had a complete response to treatment. Thirteen patients were in the compensated liver cirrhosis stage, out of whom ten responded to treatment. Out of the six patients that were not compensated, none responded to treatment completely. Regarding the development of the disease, out of the 14 patients that had a complete response to the treatment, ten remained in the same stage, four improved and none progressed to a more advanced stage of the illness.
Conclusions. The response to treatment in patients with autoimmune hepatitis is strongly related to the non-progression of the disease.
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