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8753

Study of autoantibodies in Egyptian non-B,non-C chronic hepatitis patients

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Hepatology

Abstract

Background and study aim : Autoimmune hepatitis (AIH) is a curable disease that is under studied in our locality in Egypt and it's role in causation of chronic liver disease is not well studied. This work aimed at evaluation of the pattern and clinical importance of an array of auto-antibodies in non-B, non-C chronic hepatitis Egyptian patients and to detect the prevalence and feature of autoimmune liver diseases (AILDs) in our locality and evaluate other causes of chronic non-B, non-C hepatitis in our patients. Patients and methods : Between January 2007 to September 2009, 50 Egyptian patients with non-B non-C chronic hepatitis were enrolled in this study (18 males and 32 females). All patients were subjected to the following : full history taking, through clinical examination, viral markers (HBsAg, Anti-HCV, HBC Ab), liver function tests, serum protein electrophoresis, abdominal ultrasonographic examination, fine needle liver biopsy and histopathology examination and tests for autoimmune antibodies ( ANA, ASMA, ALKM-I and AMA) and measuring their titer. Results : Most patients were middle-age females (27.72+12.1) and the most common auto-antibodies detected in patients group were ANA (48%) followed by ASMA (44%), ALKM-1 (24%) and AMA (20%) .Out of the 50 patients; 32 patients (64%) were diagnosed as AILDs and 16 patients (32%) were diagnosed as autoimmune hepatitis (AIH), most of them (10 patients) were classified as type I AIH (with ANA and/or ASM), 2 patients (4%) were classified as type II AIH (with LKM-1) and 4 patients (8%) could not been classified on the basis of routine antibodies profile . 16 patients (32%) were diagnosed as overlap syndrome (AIH with cholestatic feature with or without AMA positive sera). Conclusion : The present study concluded that the distribution of autoantibodies in different group of patients revealed the difficulty to endorse the subclassification of patients of AIH depending on autoantibodies profiles. The role of AIH needs more studies in our locality as it's one of the curable liver diseases.

DOI

10.21608/aeji.2011.8753

Keywords

Autoantibodies, Non-B, Non-C, Chronic hepatitis, Egyptian

Authors

First Name

Maged

Last Name

Bahgat

MiddleName

-

Affiliation

Tropical Medicine Department,Faculty of Medicine,Zagazig University,Egypt.

Email

halazanfaly_2006@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Emama

MiddleName

-

Affiliation

Tropical Medicine Department,Faculty of Medicine,Zagazig University,Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Refaey

MiddleName

Mohamed

Affiliation

Tropical Medicine Department,Faculty of Medicine,Zagazig University,Egypt.

Email

-

City

-

Orcid

-

First Name

Walid

Last Name

Abd-Eldayem

MiddleName

-

Affiliation

Tropical Medicine Department,Faculty of Medicine,Zagazig University,Egypt.

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Emara

MiddleName

-

Affiliation

Pathology Department,Faculty of Medicine,Zagazig University,Egypt.

Email

-

City

-

Orcid

-

First Name

Hosam

Last Name

El-Sharkawy

MiddleName

-

Affiliation

Microbiology and Immunology Department,Faculty of Medicine,Zagazig University,Egypt.

Email

-

City

-

Orcid

-

First Name

Amany

Last Name

Emara

MiddleName

-

Affiliation

Clinical Pathology Department,Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

Hayam

Last Name

Heeba

MiddleName

-

Affiliation

Internal Medicine Department,Faculty of Medicine,Z Ain Shams University,Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Akl

MiddleName

-

Affiliation

Internal Medicine Department,Faculty of Medicine, Menofeya University,Egypt.

Email

-

City

-

Orcid

-

Volume

1

Article Issue

1

Related Issue

1688

Issue Date

2011-09-01

Receive Date

2011-02-03

Publish Date

2011-09-01

Page Start

1

Page End

8

Print ISSN

2090-7613

Online ISSN

2090-7184

Link

https://aeji.journals.ekb.eg/article_8753.html

Detail API

https://aeji.journals.ekb.eg/service?article_code=8753

Order

1

Type

Original Article

Type Code

616

Publication Type

Journal

Publication Title

Afro-Egyptian Journal of Infectious and Endemic Diseases

Publication Link

https://aeji.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023