Research Article

Autoimmune Hepatitis with Acute Presentation: Clinical, Biochemical, and Histological Features of 126 Patients

Table 2

Basal characteristics of the patients with acute autoimmune hepatitis.

CharacteristicsTotal (N = 126)No Death/LT (N = 116)In-hospital Death/LT (N = 10) value

Age, years49.0 ± 15.348.4 ± 15.455.7 ± 12.00.150
Female sex (%)97 (77.0%)88 (75.9%)9 (90.0%)0.452
Autoimmune comorbidities (%)29 (23.0%)28 (24.1%)1 (10.0%)0.452
 Hypothyroidism19 (15.1%)18 (15.5%)1 (10.0%)
 Sjögren disease8 (6.4%)8 (6.9%)0 (0.0%)
 TP (idiopathic)2 (1.6%)2 (1.7%)0 (0.0%)
 Ulcerative colitis2 (1.6%)2 (1.7%)0 (0.0%)
 Others3 (2.4%)3 (2.6%)0 (0.0%)
Total bilirubin—(mg/dL)10.0 (3.4–17.9)8.6 (3.0–15.8)20.0 (15.5–28.8)<0.001
AST—(U/L)1042 (678–1469)1042 (685–1461)958 (664–2000)0.935
ALT—(U/L)1171 (768–1740)1201 (797–1738)815 (602–3000)0.542
AP—(U/L)216 (169–310)215 (168–298)273 (212–594)0.127
GGT—(U/L)270.0 (159–406)269 (160–389)317 (119–510)0.815
Prothrombin %61.1 ± 20.963.4 ± 19.733.7 ± 14.3<0.001
ANA > 1 : 40 (%)93 (73.8%)86 (74.1%)7 (70.0%)0.721
SMA > 1 : 40 (%)60 (47.6%)55 (47.4%)5 (50.0%)1.000
AMA (above normal) (%)6 (4.8%)6 (5.2%)0 (0.0%)
Immunoglobulin G (%)
 Above normal88 (69.8%)84 (72.4%)4 (40.0%)0.069
 No data5 (4.0%)4 (3.5%)1 (10.0%)
Anti-LKM1 (%)
 Above normal4 (3.2%)4 (3.5%)0 (0.0%)
 No data2 (1.6%)2 (1.7%)0 (0.0%)
Disease severity (%)
 Nonsevere79 (62.7%)79 (68.1%)0 (0.0%)<0.001
 Severe33 (26.2%)33 (28.4%)0 (0.0%)
 Fulminant14 (11.1%)4 (3.4%)10 (100.0%)
Corticosteroids use (%)119 (94.4%)113 (97.4%)6 (60.0%)<0.001

Numerical data are presented as the mean ± DS or median (IQR) depending on their distribution. LT: liver transplant; AST: aspartate aminotransferase; ALT: alanine aminotransferase; AP: alkaline phosphatase; GGT: gamma-glutamyl transferase; ANA: antinuclear antibody; SMA: smooth muscle antibody, AMA: antimitochondrial antibody; anti-LKM1: anti-liver-kidney microsome antibodies.