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ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Issue 9
Sep.  2015
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Clinical characteristics of autoimmune hepatitis: an analysis of 194 patients

DOI: 10.3969/j.issn.1001-5256.2015.09.026
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  • Published Date: 2015-09-20
  • Objective To investigate the main clinical characteristics of patients with autoimmune hepatitis( AIH). Methods An analysis was performed on the data of 194 AIH patients who visited Guanggu Branch of Hubei Provincial Hospital of Traditional Chinese Medicine from December 2010 to December 2014 and 197 healthy blood donors who served as control group. Autoantibodies,biochemical indicators,and liver biopsy were evaluated for AIH patients. The type of AIH patients was determined according to the results of test of autoantibodies and a statistical analysis was conducted for age,sex,biochemical markers,and pathological manifestations of all the AIH patients,Comparison of continuous data between groups was made by analysis of variance and comparison of categorical data between groups was made by chi-square test. Results The female / male ratio was 154 ∶ 40 among the 194 AIH patients. The morbidity achieved a peak value among the patients aged 40-60 years. The proportion of the patients older than 40 years were 76. 80%( 149 /194). According to the results of test of autoantibodies,the numbers of type-Ⅰ,-Ⅱ,and-Ⅲ AIH patients were 163,5,and 26,respectively,the female / male ratios were131∶ 32,4∶ 1,and 19∶ 7,respectively,and the mean ages were 59. 26 ± 10. 24,16. 54 ± 8. 21,and 63. 38 ± 12. 92 years,respectively.There were significant differences in alanine aminotransferase,aspartate aminotransferase,gamma-glutamyltransferase,and immunoglobulin G between type-Ⅰ AIH patients and type-Ⅱ and-Ⅲ AIH patients( all P < 0. 05),and immunoglobulin A significantly differed between type-Ⅱ AIH patients and type-Ⅰ and-Ⅲ AIH patients( P < 0. 05). Pathological manifestations of AIH showed interface hepatitis,infiltration of lymphocytes and plasma cells,and rosette-like changes. Conclusion AIH patients are mostly female aged 40-60 years. The peak age of onset ranges from 40 to 60 years. Biochemical indicators have various degrees of increase among type-Ⅰ,-Ⅱ,and-Ⅲ AIH patients. The main pathological manifestation is interface hepatitis.

     

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      沈阳化工大学材料科学与工程学院 沈阳 110142

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