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Simplified Scoring for Autoimmune Hepatitis (AIH)

Simplified version of the original scoring system for the diagnosis of autoimmune hepatitis.

Advice

AIH is a complex diagnosis partly because there is no anatomic criterion (i.e. ‘gold’) standard. AIH scoring neatly solves this problem by defining the diagnosis. ‘Definite’ scores appear highly reliable.

Management

We are unaware of validated management algorithms using the AIH scores.

Critical Actions

Overlap with multiple hepatic conditions is always a concern to consider despite score findings, and ‘definite’ scores are more predictive than ‘probable’ ones.