The immunologic diagnosis of chronic active "autoimmune" hepatitis: distinction from systemic lupus erythematosus.
We have evaluated the immunologic characteristics often associated with systemic lupus erythematosus in a series of patients with a variety of different liver diseases. Antibody to double-stranded DNA as measured by the Farr assay was detected frequently in patients with various forms of liver disease. No patient with liver disease, including those with a presumed immunologic etiology, was found to have antibody to double-stranded DNA using more specific assays. Other immunologic phenomena such as the presence of immunofluorescent staining at the dermal-epidermal junction in the lupus band test, circulating immune complexes and the presence of antinuclear antibody were present in a number of patients with different forms of liver disease. The absence of antibody to double-stranded DNA in patients with liver disease suggests that there may be a true immunologic distinction between systemic lupus erythematosus and chronic active ("lupoid") hepatitis.
D000328:Adult; D000974:Antibodies, Antinuclear / Q000032:analysis; D000936:Antigen-Antibody Complex; D001327:Autoimmune Diseases / Q000175:diagnosis*; D004247:DNA / Q000276:immunology; D003937:Diagnosis, Differential; D006521:Hepatitis, Chronic / Q000175:diagnosis*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis*; D008875:Middle Aged
D000974:Antibodies, Antinuclear; D000936:Antigen-Antibody Complex; D004247:DNA