Hepatitis autoinmune en un paciente con hepatitis B crónica, a propósito de un caso

María Teresa Domínguez Plaja; Luis Gustavo Celis; Andrés Felipe Posada López

doi:10.22490/24629448.1019

Vol. 11 No. 19 (2013)

Published

2013-06-15

PDF (Spanish)

Metrics

Metrics Loading ...

Topic Review: Autoimmune hepatitis in a patient with chronic hepatitis B. A case report

DOI: https://doi.org/10.22490/24629448.1019

Section

Case Study (before OJS)

María Teresa Domínguez Plaja Universidad de La Sabana

Luis Gustavo Celis Universidad de La Sabana

Andrés Felipe Posada López Universidad de La Sabana

Hepatitis is a viral disease that affects a large portion of the world’s population, which has a multifactorial etiology, thus to facilitate its study has been classified from A to E according with the characteristic. Additionally to viral hepatitis also occurs the autoimmune hepatitis, a disease of unknown etiology of which prevalence and incidence are increasing every year. There is few reports in the literature that describe the possibility of finding viral hepatitis and autoimmune hepatitis in one patient at the same time. Nevertheless some studies have indicated that there is possible correlation between them, situation that make difficult its diagnosis, therapeutic approach, treatment and prognosis. A case of chronic B hepatitis with overlapped autoimmune hepatitis is reported aiming to, get a topic review and diagnostic difficulties.

autoimmune hepatitis, chronic B hepatitis, auto-antibodies.

Ganem D, Prince AM. Hepatitis B Virus Infection — Natural History and Clinical Consequences. N Engl J Med. 2004 Mar 11;350(11):1118-1129.

Czaja AJ, Manns MP. Advances in the Diagnosis, Pathogenesis, and Management of Autoimmune Hepatitis. Gastroenterology 2010; 139: 58 -72.

EASL clinical practice guidelines. Management of chronic hepatitis B virus infection. J Hepatol. 2012;57:167-185

Servoss JC, Friedman Serologic and molecular diagnosis of hepatitis B virus. Infect Dis Clin North Am. 2006 Mar;20(1):47-61.

Krawitt EL. Autoimmune Hepatitis. N Engl J Med 2006; 354: 54-66.

Manns MP, Czaja AJ, Gorham JD, Krawitt EL, Mieli-Vergani G, Vergani D, Vierling JM; American Association for the Study of Liver Diseases. Diagnosis and management of autoimmune hepatitis. Hepatology. 2010 Jun;51(6):2193-2213.

Núnez Martínez Ó, et al. Evolución de cirrosis biliar primaria a síndrome de solapamiento con hepatitis autoinmune en paciente con hepatitis B crónica. Gastroenterol Hepatol. 2012. Oct 17. pii: S0210-5705(12)00254-3

Woodward J, Neuberger J. Autoimmune overlap syndromes. Hepatology. 2001;33:994-1002.

Boberg KM, Chapman RW, Hirschfield GM, Lohse AW, Manns MP, Schrumpf E. Overlap syndromes: the international autoimmune hepatitis group (IAIHG) position statement on a controversial issue. J Hepatol. 2011;54:374-85

Rust C, Beuers U. Overlap syndromes among autoimmune liver diseases. World J Gastroenterol 2008 June 7; 14(21): 3368-3373.

Gleeson D, Heneghan MA. British Society of Gastroenterology (BSG) guidelines for management of autoimmune hepatitis. Gut 2011 Dec;60(12):1611-29

Hennes EM, Zeniya M, Czaja AJ, Parés A, Dalekos GN, Krawitt EL, et al. Simplified criteria for the diagnosis of autoimmune hepatitis. Hepatology. 2008;48:169---76.

Núnez Martínez O, Clemente Ricote G. Hepatitis autoinmune. Etiopatogenia. GH Continuada. 2005;4:201-6.

Gregorio GV, Choudhuri K, Ma Y, Vegnente A, Mieli-Vergani G, Vergani D. Mimicry between the hepatitis B virus DNA polymerase and the antigenic targets of nuclear and smooth muscle antibodies in chronic hepatitis B virus infection. J Immunol. 1999;162:1802-10

Nobili V et al. Co-occurrence of chronic hepatitis B virus infection and autoimmune hepatitis in a young Senegalese girl. European Journal of Gastroenterology & Hepatology, 2006;18( 8)

Efe C, Wahlin S, Ozaslan E, Purnak T, Muratori L, Quarneti C, Tatar G, Simsek H, Muratori P, Schiano TD. Diagnostic difficulties, therapeutic strategiesand performance of scoring systems in patients with autoimmune hepatitis and concurrent hepatitis B/C. Scand J Gastroenterol. 2013; 48(4):504-8.

Domínguez Plaja, M. T., Celis, L. G., & Posada López, A. F. (2013). Topic Review: Autoimmune hepatitis in a patient with chronic hepatitis B. A case report. NOVA Biomedical Sciences Journal, 11(19), 105-110. https://doi.org/10.22490/24629448.1019

Download Citation

Published

Topic Review: Autoimmune hepatitis in a patient with chronic hepatitis B. A case report

Declaración de privacidad.

Keywords