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    DIaGNOSIS ANd cheap viagra gold coast PaThOGENESIS 19 109 180 CHAPTER 16 AUTOIMMUNE HEPATITIS. Histologic features are similar between symptomatic and asymptomatic patients, including the occurrence of cirrhosis. Lichen planus Myasthenia gravis Neutropenia Pericarditis Peripheral neuropathy Pernicious anemia Pleuritis Pyoderma gangrenosum Rheumatoid arthritis* Sjögren syndrome Synovitis* Systemic lupus erythematosus Ulcerative colitis* Urticaria Vitiligo serum immunoglobulin G level, is a hallmark of the disease, and the diagnosis is suspect without it.

    Marked cholestatic features are incompatible with the diagnosis, and serum alkaline phosphatase levels more than 5-fold the upper limit of normal, pruritus, hyperpigmentation, and bile duct lesions on histologic examination suggest other diseases, such as primary biliary cirrhosis or primary sclerosing cholangitis. 6. What are the symptoms of autoimmune hepatitis?. The major symptoms of autoimmune hepatitis are fatigue and arthralgia.

    DIAGNOSIS ANd PATHOGENESIS Table 18-4.  Immunological Diseases Associated With Autoimmune Hepatitis Autoimmune sclerosing cholangitis Autoimmune thyroiditis* Celiac disease Coombs-positive hemolytic anemia Cryoglobulinemia Dermatitis herpetiformis Erythema nodosum Fibrosing alveolitis Focal myositis Gingivitis Glomerulonephritis Graves disease* Idiopathic thrombocytopenic purpura Insulin-dependent diabetes Intestinal villous atrophy Iritis *Most common association. Asymptomatic patients are typically men, and they have lower serum aspartate aminotransferase (AST) levels at presentation than do symptomatic patients. Autoimmune hepatitis is asymptomatic in 23% to 34% of patients.

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