Our topic at first begins
at Autoimmune Hepatitis.
This patient as I've told you, hasn't
touched a drop of alcohol.
Your patient is most likely be a female.
How come? Autoimmune diseases affect
which gender more so? Females.
if there is one autoimmune
disease often times,
there will be other autoimmune disease
Maybe perhaps look for Hashimoto
maybe Diabetes type I
Diagnosed by chronically elevated levels
of liver function tests.
And upon histology expect to
Do not get your autoimmune hepatitis
to confuse with later on
we'll talk about a diagnosis called
Non-alcoholic Fatty Liver Disease
So two major hepatitides in which
alcohol is not involved.
This is one of the two:
This is due to autoimmune disease.
Diagnosis by exclusion.
Etiology unknown really.
Maybe genetic susceptibility.
These triggers are varied and
often times mysterious.
Maybe medications or there might have been
a preceding viral infection.
Remember, with viral infections
there is every possibility that
immunoglobulins being produced
And some of these immunoglobulins
will turn on thyselves.
Improvement with prolonged
Maybe even a suppressive therapy
or immunomodulators such as azathioprine
And unrecognized disease
may progress to Cirrhosis
and that’s extremely dangerous, huh?
Because of the manner
in which the patient
and how the pathogenesis takes place
there's every possibility
that the doctor
completely misses the diagnosis
for years until it is too late.