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Mieli-Vergani, G; Vergani, D; Baumann, U; Czubkowski, P; Debray, D; Dezsofi, A; Fischler, B; Gupte, G; Hierro, L; Indolfi, G; Jahnel, J; Smets, F; Verkade, HJ; Hadžić, N.
Diagnosis and Management of Pediatric Autoimmune Liver Disease: ESPGHAN Hepatology Committee Position Statement.
J Pediatr Gastroenterol Nutr. 2018; 66(2):345-360
Doi: 10.1097/MPG.0000000000001801
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- Co-Autor*innen der Med Uni Graz
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Jahnel Jörg
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- Abstract:
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Paediatric autoimmune liver disease is characterized by inflammatory liver histology, circulating autoantibodies, and increased levels of IgG, in the absence of a known etiology. Three conditions have a likely autoimmune pathogenesis: autoimmune hepatitis (AIH), autoimmune sclerosing cholangitis, and de novo AIH after liver transplantation. Two types of pediatric AIH are recognized according to seropositivity for smooth muscle and/or antinuclear antibody (AIH-1) or liver kidney microsomal type 1 and/or anti-liver cytosol type 1 antibodies (AIH-2).Pertinent issues addressing the diagnosis, treatment, and long-term follow-up were formulated by a core group of ESPGHAN members. They have commissioned the first authors with execution of this project. Initially, they have performed a systematic literature search on MEDLINE, ResearchGate, and Mendeley databases during the last 30 years and produced a document focusing on prospective and retrospective studies in children. The ESPGHAN core group and ESPGHAN Hepatology Committee members voted on each recommendation, using a formal voting technique.
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Advisory Committees -
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Autoantibodies - metabolism
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Child -
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Female -
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Gastroenterology -
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Hepatitis, Autoimmune - diagnosis
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Hepatitis, Autoimmune - therapy
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Humans -
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Immunosuppressive Agents - therapeutic use
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Liver - pathology
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Liver Transplantation -
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Male -
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Practice Guidelines as Topic -
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autoimmune hepatitis
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autoimmune liver disease
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autoimmune sclerosing cholangitis
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children
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pediatric