Patient's question:
I am a patient who has had autoimmune diseases since childhood. At the beginning, I was taking medication prescribed by the hospital, and the dosage gradually decreased. Now, my condition has slightly worsened. What should I do? I am very anxious.Doctor's answer:
1. Relevant diagnosis: Alanine aminotransferase shows acute decline, similar to acute hepatitis recurrence, female, ANA decline, hormone treatment is effective encouraging autoimmune hepatitis. However, high globulin is not consistent with this disease. It is recommended to perform liver biopsy pathology examination to confirm the diagnosis.2. If it is indeed autoimmune hepatitis, hormone therapy needs to be maintained at a small dose for at least 1-2 years. Your early discontinuation of medication may be the cause of the relapse. If you are concerned about the side effects of hormones, adding azathioprine (Imuran) to a small dose of hormone is also an option.
In addition, during the treatment of autoimmune hepatitis, in addition to timely treatment, the patient's dietary condition and psychological state are also particularly important. The patient must always maintain a cheerful mood and a proper diet to avoid unnecessary impacts on the complete recovery of autoimmune hepatitis.