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Understand the Workup for AutoImmune Hepatitis

By John Joseph Pack MD

Published on 05/12/2026

Autoimmune Hepatitis is a chronic liver disease that may have an insidious or abrupt onset. Symptoms and signs include malaise, fatigue, rash, arthralgias, and jaundice. The incidence is higher in women. 25-50% of cases may be relatively asymptomatic and picked up on routine hepatic screening labs which may show only elevated aminotransferase levels. Alkaline phosphatase is often normal or near-normal. If suspected, follow up labs should be ordered including anti-nuclear antibody, anti-smooth muscle antibody, serum IgG levels, and liver-kidney microsomal antibody (LKM), all of which may be elevated. Treatment may include immunosuppressants such as corticosteroids and azathioprine.

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