Gastro > AIH > Flashcards

AIH Flashcards

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1
Q

Etiologi:

A

Vet inte

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2
Q

Klinisk bild vid AIH:

A 
Trötthet
Illamående
Ikterus
Obehag under höger arcus
Ledbesvär
Hepatomegali
Splenomegali

Symtom på dekompenserad leversjukdom:
Ascites
Esofagusvaricer
Encefalopati

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3
Q

LAB AIH:

A

Transaminasstegring av varierande grad
ANA (antinuclear antibody) positivitet
SMA (smooth muscle antibody) positivitet högre än virushepati och vanligare
Stegring av IgG

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4
Q

Diffdiagnos:

A 
Virushepatit: A, B, C, E, CMV, EBV
Läkemedelsinducerad hepatit
Jättecellshepatit
Granulomatös hepatit
Idiopatisk granulomatös hepatit
PSC-AIH overlap syndrom
PBC-AIH overlap syndrom
Autoimmun kolangit
Alkoholhepatit
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5
Q

Behandling AIH:

A

Prednisolon, azitoprin ev transplantation.

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6
Q

Recidiv:

A

50-80%

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7
Q

Transplantation:

A

Sällan

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