title: Diagnostic criteria for autoimmune hepatitis in children: a challenge for pediatric hepatologists.
abstract: Autoimmune hepatitis (AIH) is a progressive inflammatory liver disorder that is rare in children and adolescents. AIH has a broad clinical spectrum and a quick response to treatment with corticosteroids and immunosuppressive medication. The available diagnosis criteria have limitations and should be evaluated in pediatric populations. Recently, some studies reported that the 2008 simplified diagnostic criteria for AIH could be used in children with high sensibility and specificity. In addition, the authors reported that globulin and immunoglobulin G levels can be used interchangeably for diagnostic purposes. They also demonstrated that the 2008 simplified criteria fail in identifying patients with fulminant hepatic failure. Here, we discuss the limitations of the use of these criteria in pediatric patients and the requirement of more studies to improve the diagnosis of AIH in children.
authors.affiliation: Division of Pediatric Gastroenterology and Hepatology, Department of Pediatrics, School Medicine, Federal University of Minas Gerais, Minas Gerais 30130-100, Brazil.
authors.forename: Priscila Menezes
authors.initials: PM
authors.lastname: Ferri
authors.forename: Alexandre Rodrigues
authors.initials: AR
authors.lastname: Ferreira
authors.forename: Débora Marques
authors.initials: DM
authors.lastname: Miranda
authors.forename: Ana Cristina
authors.initials: AC
authors.lastname: Simões E Silva