Clinical features and biochemical data of Caucasian children at diagnosis of autoimmune hepatitis.

Abstract:

OBJECTIVE:Evaluation of systematic epidemiological data regarding clinical characteristics, sex distribution and autoantibody pattern in Caucasian children with autoimmune hepatitis (AIH). STUDY DESIGN:Data of 142 children presenting with AIH (97 girls and 45 boys) have been analysed for their clinical, serological, and histological profile. RESULTS:Clinical findings were jaundice (58%), unspecific weakness (57%), anorexia (47%), abdominal pain (38%) and paleness (26%). One hundred and three children (73%) (68 girls, 35 boys, 1.9:1) had AIH type 1 and 35 patients (25%) (27 girls, 8 boys, 3.4:1) type 2 due to specific autoantibodies. Four children could not be classified. Histology of 122 children revealed active hepatitis in 64 (52%), cirrhosis in 46 (38%), and mild inflammatory activity in 12 individuals (10%). The most prevalent HLA type was B8. CONCLUSION:In our cohort the prevalence of AIH was half as frequent in boys as in girls. Type 1 was the most frequent diagnosis (73%) and was more prevalent in older children. Type 2 was equally age distributed. The clinical presentation of AIH in children was unspecific and type I and type II could only be differentiated by the determination of the specific autoantibodies. Ninety percent of patients presented with high inflammatory activity or liver cirrhosis.

journal_name

J Autoimmun

journal_title

Journal of autoimmunity

authors

Oettinger R,Brunnberg A,Gerner P,Wintermeyer P,Jenke A,Wirth S

doi

10.1016/j.jaut.2004.11.009

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

79-84

issue

1

eissn

0896-8411

issn

1095-9157

pii

S0896-8411(04)00136-2

journal_volume

24

pub_type

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