Hepatitis Fulminante Autoinmune

Abstract

The hepatitis autoinmune (HAI) it is a pathology whose forms of clinical presentation oscillate from asymptomatic forms, until forms of sharp hepatitis that can meet to a fulminating hepatitis in some cases, it can be presented of generally progressive course arriving to the chronicity, with fluctuating periods of bigger or smaller activity that affects children and adults of any age, fundamentally of the feminine sex. Their prevalencia is relatively low, affecting around the population's 0,02%. Although the exact etiology is not totally well-known, one adduces that the HAI is mediated by an immune reaction in front of autoantígenos hepatocitarios in the context of a dysfunction of the inmunorregulación it is Also described to the serious sharp hepatic flaw as fulminating hepatitis due to its condition of express deterioration multiorgánico. It is a not very frequent syndrome and it is characterized by a serious flaw in the hepatic function in absence of illness preexistente. The natural history of the fulminating hepatic flaw is relatively short (days to months); this it is a not very well-known presentation. The present case is on a young, farming patient, without comorbilidades, neither family records, without toxic habits that it is presented with a sharp square of with apparent groundless abdominal pain, to the physical exam, it presents jaundice, in paraclínica tests altered liverworts with hepatic ECO that reports hepatomegalia, with tests for hepatitis A, B, C, negative, with tests ELL, positive ANTI-ELL that concluded with the patient's death.