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Biopsy? Cirrhosis
71 years, early cirrhosis, asymptomatic. Dr said ?AIH , ?PBC, or metabolic. Has prediabetes, hypertension. Osteoarthritis. CHILD A. Meld 8. Fibrosis scan CAP mean 188, 31 kpa.
ANA+. High IgG. Liver enzymes were elevated earlier but after 2 months and changed to healthy diet repeat liver enzymes were less elevated. No ascites/jaundice. Mild pedal edema.
1) Is it absolutely necessary or worthwhile to do biopsy or endoscopy considering her age to rule out cause?
2) If autoimmune suspected and is not ready to take steroids as side effects are more serious, then is biopsy still required?
3) LFT r better than earlier. Does it mean she can get better? Is repeat ANA , IgG to b done?
Answers (3)
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Biopsy is must for diagnosis and prognostication
There are more effective medications than steroids to treat AIH
No need for endoscopy
Can be started on beta blockers after reports
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Dr. Nikhil Patil
Medical Gastroenterology
10 yrs exp
Bangalore
Biopsy is mandatory
Steroids are mandatory for induction
LFt will be changing in autoimmune hepatitis
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Dr. Aakash Garg
Gastroenterologist
13 yrs exp
Bilaspur
Biopsy will help in diagnosis
Endoscopy for staging of disease
There are other option available apart from steroids
LFT used to fluctuate in Autoimmune hepatitis
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.