GI / Hepatology
Autoimmune Hepatitis
Diagnosis (autoantibodies + IgG + biopsy + simplified IAIHG score), corticosteroid + azathioprine, monitor for relapse.
Source: BSG 2018; AASLD 2019
Step 1 of ~4
info
Recognise + Investigate
Variable: incidental LFT abnormality, acute hepatitis, decompensated cirrhosis, jaundice, fatigue, polyarthralgia. Female predominance. Two peaks: peri-pubertal and middle-aged. Bloods: LFTs (transaminitis), bilirubin, IgG (often >1.5× ULN), autoantibodies (ANA, ASMA, LKM-1, SLA), hepatitis B/C, ferritin/transferrin saturation, ceruloplasmin (Wilson screen), α1-AT level, USS liver. CT/MRI if cirrhosis features.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Azathioprine · Systemic Immunosuppressant — Eczema / Autoimmune Dermatoses
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
- Dexamethasone (ICU / ARDS) · Systemic Corticosteroid
- Betamethasone Valerate · Potent topical corticosteroid
- Clobetasol Propionate · Very potent topical corticosteroid
- Hydrocortisone (Topical) · Mild Topical Corticosteroid
Pathways
- Lower Gastrointestinal Bleed · BSG 2019; NICE NG141
- Variceal Upper GI Bleed · BSG 2015; Baveno VII (2022)
- Spontaneous Bacterial Peritonitis (SBP) · BSG / EASL 2018
- Hepatorenal Syndrome · EASL 2018; ICA 2015
- Hepatic Encephalopathy · EASL 2014; West Haven criteria
- Clostridioides difficile Colitis · NICE NG199 (2021); IDSA/SHEA 2021
Decision support only. Always apply local guidelines and clinical judgement.