Should autoimmune hepatitis be treated?

Patient's question:

If it's autoimmune hepatitis, which liver function indicators will decrease? Except for AST and ALT, what other indicators?

Doctor's answer:

Except for ALT and its decrease, other liver function indicators such as serum bilirubin and alkaline phosphatase may also increase; However, the key point is that the main gold standard for diagnosing autoimmune hepatitis remains the detection of autoantibodies, such as anti-mitochondrial antibodies, anti-nuclear antibodies, and anti-smooth muscle antibodies, which must be tested in tertiary-level hospitals at the provincial level. Because the diagnosis of autoimmune hepatitis requires first ruling out other types of liver diseases, and the diagnosis should be approached with caution. It is recommended to clarify the condition first. Different diseases require completely different treatments. For example, if it is autoimmune hepatitis, treatment will involve the use of hormones.

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