Autoimmune processes in the liver can cause severe damage and
destruction leading to cirrhosis and liver failure. The clinical
spectrum of autoimmune liver disease is very wide, and diagnostic
difficulties often stand at the beginning of the patient 's medical
career. While in autoimmune hepatitis immunosuppressive therapy has
long been shown to be life-saving, therapeutic progress is small in
primary biliary cirrhosis and questionable in primary sclerosing
cholangitis. New approaches to treatment will be needed in the
future, but require better understanding of the pathogenesis of the
underlying disease process.
This book, the proceedings of Falk Symposium 142 on 'Autoimmune
Liver Disease held in Freiburg, Germany, on 12 13 October 2004
(Part I of the Gastroenterology Week Freiburg), describes possible
mechanisms of pathogenesis, discusses diagnostic criteria and takes
up controversies concerning treatment options. In view of the
relatively frequent manifestation of autoimmune hepatitis in
childhood in particular, paediatric aspects of autoimmune liver
disease, and the role of liver transplantation, are given
prominence.
General
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