International Autoimmune Hepatitis Group Calculator
Alvarez et al., International Autoimmune Hepatitis Group Report:
Review of criteria for diagnosis of autoimmune hepatitis. J Hepatol 1999;31:929-938. [
PubMed link
]
Parameters
Sex:
Male
Female
alkaline phosphatase:AST (or ALT) ratio [
?
]
Alkaline phosphatase: patient
AST (or ALT): patient
upper limit of normal
upper limit of normal
Serum globulins or lgG levels greater than normal
>2
1.5--2.0
1.0--1.5
<1
ANA, ASMA, or LKM-1 [
?
]
>1:80
1:80
1:40
<1:40
AMA
Postive
Negative
Hepatitis viral markers
Positive
Negative
Drug History
Positive
Negative
Average alcohol intake
>60g/day
<25g/day
Liver histology
Interface hepatitis
Predominantly lymphoplasmacytic infiltrate
Rosetting of liver cells
Billary changes
Other changes
Other autoimmune diseases
Yes
No
Optional additional parameters
Seropositivity for other defined autoantibodies
Yes
No
HLA DR3 or DR4
Yes
No
Response to therapy
Complete
Relapse
Final Score
Total Score:
Interpretation of aggregate scores
Pretreatment
Definite AIH
>15
Probable AIH
10-15
Posttreatment
Definite AIH
>17
Probable AIH
12-17
Use in pediatric patients
It has been suggested that substitution of gamma glutamyl transferase (GGT) for alkaline phosphatase in the scoring system may be more useful in the evaluation of children because of the contribution of bone activity to serum alkaline phosphatase levels. See Ebbeson & Schreiber, Diagnosing autoimmune hepatitis in children: is the International Autoimmune Hepatitis Group scoring system useful? Clin Gastroenterol Hepatol 2004;2:935-940. [
PubMed link
]