アブストラクト
Title | 自己免疫性肝炎 up to date |
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Subtitle | 今月のテーマ (総説) : 自己免疫性肝・胆道疾患 up to date |
Authors | 大平弘正, 高橋敦史, 阿部和道1) |
Authors (kana) | |
Organization | 1)福島県立医科大学消化器内科学講座 |
Journal | 日本消化器病学会雑誌 |
Volume | 121 |
Number | 1 |
Page | 10-16 |
Year/Month | 2024 / 1 |
Article | 報告 |
Publisher | 日本消化器病学会 |
Abstract | 要旨: 近年, 自己免疫性肝炎(AIH)の有病率は増加しており, 急性肝炎例の割合が約20%を占めている. 日本の診療ガイドラインが2022年1月に改訂され, 診断基準項目の順番の変更, CQを2項目追加, 重症度判定項目の修正, 治療反応性定義の記載, PSCオーバーラップ, 薬物起因性AIH様肝障害, 非侵襲的線維化診断に関する内容が追記となっている. 周辺疾患として, 免疫チェックポイント阻害薬による肝障害や脂肪性肝障害との関連が注目されている. 海外の新たな動向も踏まえながら, わが国としてのAIH診療の対応を確立していく必要がある. |
Practice | 臨床医学:内科系 |
Keywords | 診療ガイドライン, 組織学的評価, 免疫チェックポイント阻害薬, 脂肪性肝障害, アザチオプリン |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
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