Learning points

1) Keep autoimmune hepatitis on your differential for a patient presenting with jaundice and hepatitis.
2) There is a wide spectrum of presentations, from mild asymptomatic AST/ALT elevations to fulminant liver failure.
3) Autoimmune hepatitis is a type of chronic hepatitis, more commonly seen in women of any age, but dx is most commonly in the 40-50 age range.
4) Antibodies commonly associated with the dx: ANA, Anti-Smooth Muscle, Anti-Mitochondrial, Anti-SLA/LP (soluble liver antibody/liver pancreas), and elevated IgG levels.
5) Treatment = Prednisone +/- Azathioprine