Evaluation of the revised versus the simplified scoring system in patients with autoimmune hepatitis

Li,Yi; Peng,Milin; Gong,Guozhong

doi:10.3892/etm.2013.1366

2014-January Volume 7 Issue 1

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2014-January Volume 7 Issue 1

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Article

Evaluation of the revised versus the simplified scoring system in patients with autoimmune hepatitis

Authors:
- Yi Li
- Milin Peng
- Guozhong Gong
View Affiliations / Copyright

Affiliations: Institute of Hepatology, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China
Pages: 131-136
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Published online on: October 25, 2013

https://doi.org/10.3892/etm.2013.1366
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Abstract

The aim of this study was to evaluate the simplified and revised scoring systems for the diagnosis of autoimmune hepatitis (AIH). Seventy‑seven patients diagnosed with AIH via the revised scoring system were enrolled in this study. Statistical analysis was performed by means of the χ2 test and logistic regression analysis. A total of 39 patients with definite AIH and 38 patients with probable AIH were diagnosed by the revised scoring system, whereas among these 77 patients, the simplified scoring system classified nine cases as definite AIH, 39 as probable AIH and 29 without AIH. In this study, the parameters contributing to the discrepant diagnosis of AIH were compared using the revised and simplified systems. A χ2 test showed that antinuclear antibody (ANA) or smooth muscle antibody (SMA) titers were significantly lower in the patients with discrepant diagnoses (χ2=15.0, P=0.001). Logistic regression with backward selection revealed that for the discrepant diagnosis of patients, the presence of other concurrent autoimmune diseases [odds ratio (OR)=7.25; P=0.018; 95% confidence interval (CI), 1.41‑37.29] was the only independent risk factor. In addition, the presence of anti‑soluble liver antigen/liver‑pancreas antigen (SLA/LP) or perinuclear antineutrophil cytoplasmic antibody (pANCA) (OR=0.12; P=0.022; 95% CI, 0.02‑0.74), the level of immunoglobulin G (IgG) with 1‑1.1 x Normal (N) (OR=0.02; P=0.044; 95% CI, 0.00‑0.89) and ANA or SMA titers ≥1:80 (OR=0.04; P=<0.001; 95% CI, 0.01‑0.23) were three independent protective factors. In conclusion, the revised scoring system has a superior performance in the diagnosis of patients with AIH compared with the simplified scoring system. According to the simplified scoring system, other concurrent autoimmune diseases are the risk factor for the AIH diagnosis.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Evaluation of the revised versus the simplified scoring system in patients with autoimmune hepatitis

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