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3 years ago

The case begins with a 23 year old woman who presents to her

The case begins with a 23 year old woman who presents to her

Further

Further laboratory investigation to distinguish potential autoimmune versus viral etiologies indicated a non-specific autoimmune process with an elevated ANA and positive rheumatoid factor. Anti-smooth muscle and antimitochondrial antibodies, however, were negative. Viral serologies indicated prior exposure to hepatitis A, Epstein-Barr virus, herpes simplex virus, and varicella zoster virus, without current infection. EBV early AgAb and capsid IgG2 +, nuclear AgAb and capsid IgM – Autoimmune hepatitis: Type 1 (classic) - ANA and/or ASMA Type 2 - ALKM-1 (liver/kidney microsomes) and/or ALC-1 (liver cytosol antigen) 6

Transjugular liver biopsy was performed, which showed very little normal tissue… 7

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Mr. P is a 76 year old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy.
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