{"id":1596,"date":"2018-08-23T09:39:39","date_gmt":"2018-08-23T09:39:39","guid":{"rendered":"https:\/\/fehv.org\/?page_id=1596"},"modified":"2018-08-23T09:46:51","modified_gmt":"2018-08-23T09:46:51","slug":"autoinmune-hepatitis","status":"publish","type":"page","link":"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/","title":{"rendered":"Autoimmune hepatitis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1596\" class=\"elementor elementor-1596 elementor-41 elementor-bc-flex-widget\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-333e2dc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"333e2dc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-30d9d6f0\" data-id=\"30d9d6f0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1dab8c70 elementor-widget elementor-widget-image\" data-id=\"1dab8c70\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5cf066b1\" data-id=\"5cf066b1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7741a7fa elementor-widget elementor-widget-text-editor\" data-id=\"7741a7fa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>What is Autoimmune Hepatitis?<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f54d63e elementor-widget elementor-widget-text-editor\" data-id=\"7f54d63e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>Autoimmune hepatitis<\/strong> is a <strong>progressive chronic inflammatory disease of the liver<\/strong> that can lead to liver cirrhosis. <strong>It mainly affects the female sex in 70% of cases<\/strong>. The disease can begin at any age, but is more frequent in adolescence or in the beginning of <strong>adulthood<\/strong>. Autoimmune hepatitis is characterized by the inflammation and destruction of hepatocytes (cells that make up the liver).<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-635128f1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"635128f1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-584f772d\" data-id=\"584f772d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-13f780b4 elementor-widget elementor-widget-text-editor\" data-id=\"13f780b4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Causes of Autoimmune Hepatitis<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79a1549e elementor-widget elementor-widget-text-editor\" data-id=\"79a1549e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The disease is caused by the attack of the immune system (defenses) of the patient that destroys the hepatocytes because the defenses do not recognize these cells as belonging to the organism. There is evidence to indicate that there is a <strong>probable genetic predisposition<\/strong>, since relatives of patients suffering from the disease can develop autoimmune hepatitis.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6ddc4e4f\" data-id=\"6ddc4e4f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5379cef5 elementor-widget elementor-widget-image\" data-id=\"5379cef5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/hepatitis-autoinmune.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e9b0c67 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e9b0c67\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-987741a\" data-id=\"987741a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49d32be elementor-widget elementor-widget-text-editor\" data-id=\"49d32be\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Autoimmune hepatitis seen under the microscope<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6e665ee6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6e665ee6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1b78db98\" data-id=\"1b78db98\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5bd975c9 elementor-widget elementor-widget-shortcode\" data-id=\"5bd975c9\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><blockquote class=\"blockquote irc-bcq\">Autoimmune Hepatitis affects the female sex in 70% of cases.<br><footer>Dr. Vicente Carre\u00f1o<\/footer><\/blockquote><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-35ad33ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"35ad33ae\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-37793bc9\" data-id=\"37793bc9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b733620 elementor-widget elementor-widget-text-editor\" data-id=\"5b733620\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Diagnosis of Autoimmune Hepatitis<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e99c206 elementor-widget elementor-widget-text-editor\" data-id=\"e99c206\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>It can be diagnosed by the analysis of liver enzymes (transaminases), whose result will be altered, in addition to a high concentration of immunoglobulins of type G (IgG), and the detection of auto-antibodies: anti-nuclear antibodies (title 1:40 or greater) and \/ or anti-smooth muscle, which characterize <strong>type 1 autoimmune hepatitis<\/strong>; and anti-microsome liver and \/ or kidney type 1 (anti-LKM-1) that characterize <strong>type 2 autoimmune hepatitis<\/strong>.<\/p>\n<p>Most patients do not present symptoms although some may notice pruritus (itching), malaise, malaise or fatigue and jaundice (yellowing of the conjunctiva, eyes).<\/p>\n<p><strong>Autoimmune hepatitis can not be prevented<\/strong>; however, if the risk factors are known and it is diagnosed early, useful measures can be adopted (treatment, etc.).<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56693be2 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56693be2\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-227626ca\" data-id=\"227626ca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6e0514ff elementor-widget elementor-widget-image\" data-id=\"6e0514ff\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/medical-appointment-doctor-healthcare-40568.jpeg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6c117a52\" data-id=\"6c117a52\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7eafb6a5 elementor-widget elementor-widget-text-editor\" data-id=\"7eafb6a5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>Treatment<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-148d757d elementor-widget elementor-widget-text-editor\" data-id=\"148d757d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>The treatment of chronic autoimmune hepatitis<\/strong> consists in the administration of immunosuppressive drugs (cortisone, budesonide, azathioprine, etc.). At the beginning of the same, high doses of cortisone are usually used and when the patient responds (normalization of transaminases and immunoglobulins) the dose is lowered to the minimum to maintain remission.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-466baa52 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"466baa52\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-66edf928\" data-id=\"66edf928\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2ea0350 elementor-widget elementor-widget-text-editor\" data-id=\"2ea0350\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><strong>The percentage of remission in the treatment of chronic autoimmune hepatitis reaches 90%<\/strong>. However, cortisone can have notable side effects: obesity, high blood pressure, glucose increase, osteoporosis, etc. For this reason, try to keep the patient with a low dose of cortisone. In this sense, it is advisable to add azathioprine and ursodeoxycholic acid to the treatment, which may allow the use of a minimum dose of cortisone and even suppress it. There is a drug similar to cortisone (budesonide) that has less toxicity and a similar efficacy. This is because it is fixed directly in the cells of the liver.<\/p>\n<p>The duration of treatment is variable but may last for years or indefinitely after reaching remission. To interrupt the treatment it is advisable to perform a liver biopsy to check the total disappearance of inflammation and destruction. If these treatments fail, there are other drugs that can be used: cyclosporine, tacrolimus, mycophenolate phenolate, although there is much less experience with its use. Finally, if everything fails, a liver transplant can be performed.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-738d465d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"738d465d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2ddcf9fc\" data-id=\"2ddcf9fc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5b0f80e elementor-widget elementor-widget-text-editor\" data-id=\"5b0f80e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4>How aggressiveness can be predicted<\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-381bf4e8 elementor-widget elementor-widget-text-editor\" data-id=\"381bf4e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>When you have autoimmune hepatitis, you can know the degree of inflammation and severity of liver fibrosis by performing a liver biopsy. Liver ultrasound is also used.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d37cbf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d37cbf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0621f5\" data-id=\"f0621f5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b6d1dd9 elementor-widget elementor-widget-text-editor\" data-id=\"1b6d1dd9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h4><strong>References<\/strong><\/h4>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b66fc5 elementor-widget elementor-widget-text-editor\" data-id=\"9b66fc5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul>\n<li>Czaja AJ, Manns MP. Advances in the diagnosis, pathogenesis, and management of autoimmune hepatitis. Gastroenterology 2010;139:58-72.<\/li>\n<li>Webb GJ, Hirschfield GM. Genetics of autoimmune liver disease: a brief summary for clinicians. Dig Dis 2014;32:e1-6.<\/li>\n<li>Czaja AJ. Current and prospective pharmacotherapy for autoimmune hepatitis. Expert Opin Pharmacother 2014;15:1715-36.<\/li>\n<li>Sebode M, Lohse AW. Future perspective: immunomodulatory therapy for autoimmune hepatitis. Dig Dis 2014;32:502-6.<\/li>\n<li>Tanaka T, et al. Liver transplantation and autoimmune hepatitis. Intractable Rare Dis Res 2015;4:33-8.<\/li>\n<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-165a3a27 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"165a3a27\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6c068676\" data-id=\"6c068676\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-214767d5 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"214767d5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7668c3b3\" data-id=\"7668c3b3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-34b579c4 elementor-widget elementor-widget-image\" data-id=\"34b579c4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/06\/Vicente-Carreno-clinica-hepatologia.jpg\" title=\"\" alt=\"\" loading=\"lazy\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5969805c\" data-id=\"5969805c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-27ab4457 elementor-widget elementor-widget-text-editor\" data-id=\"27ab4457\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Consult our doctor<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5631c6c2 elementor-widget elementor-widget-heading\" data-id=\"5631c6c2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Dr. Vicente Carre\u00f1o<br>Hepatology specialist<\/h4>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-685dee26 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"685dee26\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-66c2f38d elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"66c2f38d\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1d9fe3fb\" data-id=\"1d9fe3fb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6529a5e5 elementor-widget elementor-widget-heading\" data-id=\"6529a5e5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">REQUEST INFORMATION WITHOUT COMMITMENT<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1ad6d993\" data-id=\"1ad6d993\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-414cb888 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"414cb888\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"\/?page_id=810\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">REQUEST INFORMATION<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b5fedcc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b5fedcc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cd1dccc\" data-id=\"cd1dccc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bdf54a4 elementor-widget elementor-widget-shortcode\" data-id=\"bdf54a4\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t    <div class=\"container mt-5\">\r\n        <div class=\"row\">\r\n        \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\">Cryptogenic Hepatitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a liver disease of an inflammatory nature and can develop chronically.\r\n<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-cryptogenic\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img decoding=\"async\" class=\"card-img-top img-fluid\" src=\"https:\/\/fehv.org\/wp-content\/uploads\/2021\/03\/higado_graso-350x159.jpg\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/fatty-liver\/\">Fatty liver<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is the second cause of liver transplantation in the USA and in the next 10 years is expected to be the first cause. It is a serious illness if it is not treated properly.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/fatty-liver\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\">Hepatitis A<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis A is an acute inflammatory disease of the liver, caused by infection with hepatitis A virus (VAH).<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-a\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\">Autoimmune hepatitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a progressive chronic inflammatory disease of the liver that can lead to liver cirrhosis.\r\n<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\">Cholangitis<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">It is a chronic progressive liver disease that mainly affects women (90% of cases) from the fourth decade of life.<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/cholangitis\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n                <div class=\"col-sm-4 mb-5\">\r\n                    <div class=\"card shadow \">\r\n                        <img fetchpriority=\"high\" decoding=\"async\" class=\"card-img-top img-fluid\" src=\"\" width=\"300\" height=\"200\" alt=\"Card image cap\" style=\"height: 200px;\">\r\n                        <div class=\"card-body\">\r\n                            <div style=\"min-height: 180px;\">\r\n                                <h5 class=\"card-title\"><a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-c\/\">Hepatitis C<\/a><\/h5>\r\n                                <p class=\"card-text\"><small class=\"text-muted\">Hepatitis is an inflammation of the liver, and in the case of hepatitis C, caused by infection with hepatitis C virus (HCV)<\/small><\/p>\r\n                            <\/div>\r\n                            <a href=\"https:\/\/fehv.org\/en\/diseases\/hepatitis-c\/\"><strong>Saber m\u00e1s<\/strong><\/a>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n\r\n                \r\n        <\/div>\r\n        <div class=\"row\">\r\n            <div class=\"col text-center\">\r\n                <a class=\"text-primary font-weight-bold\" href=\"https:\/\/fehv.org\/enfermedades\/\" target=\"_self\">Ver todas<\/a>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"It is a progressive chronic inflammatory disease of the liver that can lead to liver cirrhosis.\r\n","protected":false},"author":1,"featured_media":0,"parent":1586,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1596","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.7 (Yoast SEO v23.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Autoimmune hepatitis - Cl\u00ednica FEHV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Autoimmune hepatitis\" \/>\n<meta property=\"og:description\" content=\"It is a progressive chronic inflammatory disease of the liver that can lead to liver cirrhosis.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/fehv.org\/en\/diseases\/autoinmune-hepatitis\/\" \/>\n<meta property=\"og:site_name\" content=\"Cl\u00ednica FEHV\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/pages\/Fundacion%20Para%20el%20Estudio%20de%20las%20Hepatitis%20Virales\/228605694153917\/\" \/>\n<meta property=\"article:modified_time\" content=\"2018-08-23T09:46:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/fehv.org\/wp-content\/uploads\/2018\/10\/hepatitis_autoinmune.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1899\" \/>\n\t<meta property=\"og:image:height\" content=\"892\" \/>\n\t<meta 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