Table 3.
Clinical Characteristic | Histological Feature of Autoimmune Acute Liver Failure | |||||||
---|---|---|---|---|---|---|---|---|
Type 4 or 5 Massive Hepatic Necrosis | Lymphoid Aggregates | Central Perivenulitis | Plasma Cell Enrichment | |||||
Present N = 30 | Absent N = 42 | Present N = 23 | Absent N = 49 | Present N = 47 | Absent N = 25 | Present N = 45 | Absent N = 27 | |
Female Gender (%) | 60 | 57 | 65 | 55 | 60 | 56 | 60 | 56 |
Jaundice-to-coma (days) | 20 ± 3 | 14 ± 3 | 18 ± 4 | 16 ± 3 | 20 ± 3* | 11 ± 4 | 21 ± 3* | 10 ± 3 |
Admission INR | 3.1 ± 0.4 | 3.3 ± 0.3 | 3.3 ± 0.4 | 3.2 ± 0.3 | 3.4 ± 0.3 | 2.9 ± 0.4 | 3.4 ± 0.3 | 2.9 ± 0.4 |
Peak Creatinine (mg/dl) | 2.3 ± 0.4 | 2.7 ± 0.3 | 2.3 ± 0.4 | 2.7 ± 0.3 | 2.2 ± 0.3 | 3.1 ± 0.4 | 2.2 ± 0.3 | 3.1 ± 0.4 |
Admission Bilirubin (mg/dl) | 23.9 ± 2.1 | 25.3 ± 1.8 | 20.2 ± 2.3* | 26.9 ± 1.6 | 24.8 ± 1.7 | 24.7 ± 2.3 | 24.3 ± 1.7 | 25.4 ± 2.2 |
Admission ALT (IU/L) | 1075 ± 213 | 1193 ± 180 | 915 ± 241 | 1252 ± 165 | 991 ± 167 | 1432 ± 229 | 984 ± 171 | 1411 ± 221 |
Admission Alkaline Phosphatase (IU/L) | 215 ± 23 | 198 ± 20 | 156 ± 25* | 229 ± 18 | 200 ± 18 | 215 ± 26 | 193 ± 19 | 225 ± 25 |
Admission Globulins (g/dL) | 3.7 ± 0.2 | 3.2 ± 0.2 | 3.7 ± 0.3 | 3.2 ± 0.2 | 3.5 ± 0.2 | 3.2 ± 0.3 | 3.6 ± 0.2 | 3.1 ± 0.3 |
ANA ± ASMA (%) | 72 | 56 | 77 | 56 | 70 | 50 | 68 | 54 |
Overall Survival (%) | 80 | 64 | 74 | 69 | 83** | 48 | 82** | 52 |
Liver Transplantation (%) | 60 | 59 | 57 | 61 | 72** | 36 | 72** | 37 |
Hepatitis in Follow- Up (%) | 47 | 42 | 42 | 47 | 48 | 25 | 50 | 20 |
P ≤ 0.05,
P < 0.01,
P < 0.001,
P < 0.0001 vs. “absent” group.