A Case Study: Refractory Recurrent Autoimmune Hepatitis Following Liver Transplantation in Two Male Patients

作者:TenCate V*; Komorowski R; Cronin D; Hong J; Gawrieh S
来源:Transplantation Proceedings, 2014, 46(1): 298-300.
DOI:10.1016/j.transproceed.2013.09.028

摘要

Autoimmune hepatitis (AIH) recurs after liver transplantation and significantly impacts graft function and patient survival. In this case report, we present 2 cases of male patients with refractory recurrent AIR after liver transplantation. Each patient lost their first graft due to refractory continuous AIH. We have not noticed a similar refractory course for our female patients with AIR post-transplantation at our center. Based on our single-center experience there appears to be a gender disparity in the aggressive nature of AIR recurrence after transplantation. Despite the aggressive nature of recurrent AIH in both patients, graft loss occurred beyond 3 years for both patients and did not influence the 1- and 3-year patient survival. If these findings are validated, they may have significant impact on post-transplantation immunosuppression management in male patients.

  • 出版日期2014-2

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