Patient discussions

Autoimmune hepatitis (AIH) is a chronic and often relapsing disorder. It is important that patients understand the positive benefits of achieving therapeutical remission and the comparative risks associated with inadequately treated disease.[1] Non-compliance or problematical adherence are commonplace among patients with chronic disease, particularly among adolescents.​

Unwanted adverse effects of treatment such as weight gain, acne, raised blood sugar, high blood pressure, bone loss, gastric problems, mood and sleep disturbance, increased risk of infections, eye problems, and low white blood cell count should be discussed with the patient.

Hepatitis A and B vaccination, as well as yearly influenza vaccination, should be given to all patients with AIH.[26][81] The hepatitis A and B vaccinations should ideally be administered prior to immunosuppressive treatment.[1]​​

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