Autoimmune

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Introduction

What is Autoimmune Hepatitis?

  • Autoimmune hepatitis (AIH) is a chronic inflammatory liver disease where the immune system mistakenly attacks healthy liver cells, causing inflammation and potential long-term damage.
  • If untreated, AIH can progress to cirrhosis or liver failure.
  • AIH affects people of all ages, sexes, and ethnicities, but is more common in women.
  • Potential Causes: Genetic factors, environmental triggers (e.g., viruses, medications), and an overactive immune response.

Symptoms

Symptoms of Autoimmune Hepatitis

  • Symptoms vary from mild to severe and may include:
    • Fatigue and malaise
    • Abdominal pain
    • Joint pain (arthralgias)
    • Jaundice (yellowing of skin/eyes)
    • Nausea and loss of appetite
    • Skin rashes or itching
    • Dark urine or pale stools
  • Note: Some individuals may be asymptomatic, with AIH detected through routine blood tests.

Connection to Fatty Liver Disease

AIH and Fatty Liver Disease

  • AIH can coexist with non-alcoholic fatty liver disease (NAFLD) or metabolic dysfunction-associated steatotic liver disease (MASLD).
  • Factors contributing to fatty liver in AIH patients include:
    • Steroid treatment-induced weight gain
    • Metabolic syndrome
    • Overlapping conditions
  • Importance: Comprehensive liver health screening is vital for detecting and managing these conditions.

Diagnosis and Treatment

How is AIH Diagnosed?

  • Blood tests for elevated liver enzymes, autoantibodies, and immunoglobulin G levels.
  • Liver biopsy to confirm inflammation.

Treatment Options:

  • Corticosteroids: Prednisone to suppress inflammation.
  • Immunosuppressants: Azathioprine to manage immune response.
  • Severe Cases: Other medications or liver transplantation.
  • Outcome: Early treatment can lead to remission, but lifelong monitoring is often required.

Patient Resources

Resources and Support


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