Can fibrosis in autoimmune hepatitis regress from F4 to F0?
Patient's Query
Hi doctor,
I am 26 years old. Two years back, I found that I have autoimmune hepatitis. At that time they did Fibroscan, in that kPa is 14.5 (F4). Last one year I took medicines (steroids) and I stopped. Now it again came back and doctors did a biopsy, in that it is showing:
Portal and lobular hepatitis with areas of confluent hepatocytic necrosis and Ishak fibro score are 0.
Is it possible for my fibrosis to come from F4 to F0? How is my liver now based on that biopsy report?
Hi,
Welcome to icliniq.com.
In autoimmune hepatitis, it is possible to decrease the fibrosis. Or other possibility may be that, initial fibroscan was done in acute inflammatory state hence it may be falsely high. We need to compare it with the liver enzymes at that point of time. Autoimmune disease may be episodically triggered by various factors. You must continue the medication.
Patient's Query
Thank you doctor,
Based on that biopsy report which I attached is there any severe damage happened to the liver? If it is reversible? Can I have a normal life with life long medication?
Hi,
Welcome back to icliniq.com.
I have seen the report. (attachment removed to protect patient identity).
In this biopsy report, it is suggested that you have inflating liver, with medication it may be controlled in most of the cases. Life may be normal with medication.
Patient's Query
Thank you doctor,
Are there any complications for marriage life? Can I get married?
Hi,
Welcome back to icliniq.com.
There are no complications, you can get married. You may have kids as well. You should follow the treatment and do routinely your required investigations.
Patient's Query
Thank you dcotor,
Is there any chance of occurrence of cirrhosis in the future? Or need to transplant a liver?
Please suggest to me foods which should I avoid and which should I take more? Can I take the food which can improve the immune power?
Hi,
Welcome back to icliniq.com.
Autoimmune diseases are episodic in nature in the initial course. So there is a chance always. It may or may not recur. There is no definitive evidence about restriction of particular food or activity. But you should eat healthily.
You do liver function tests and autoimmune markers including total IgG. We can monitor the activity of the disease by monitoring laboratory markers.
Patient's Query
Thank you doctor,
One last question. I am a software engineer and it is somewhat stressful. Can I continue my job?
Hi,
Welcome back to icliniq.com.
Of course, you can continue. Lot of our patients are doing different kinds of jobs in different parts of the world. It is not related to the job profile.
Patient's Query
Hi doctor,
Thank you so much for your kind help.
Same symptoms don't mean you have the same problem. Consult a doctor now!
Related Questions
What are the tests to undertake in case of mild fatty liver?
Liver Cirrhosis - Symptoms, Causes, Diagnosis and Treatment
Can fibrosis of the liver be seen in abdominal ultrasound?
Are swollen face and bitter taste in the mouth, side effects of taking Budesonide?
Why is my SGOT and SGPT raised after chickenpox?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.