Abstract
Autoimmune hepatitis (AIH) is one entity of chronic hepatitis, in which defects of the autoimmune mechanisms are considered in the development of AIH which is characterized with middle-aged female predominance, positive circulating autoantibodies and hyper γ globulinemia. Liver diseases caused by hepatitis virus, drugs and alcohol should be excluded.
We report a rare case of AIH that was diagnosed during preoperative examination for the excision of a mandibular cyst.
An 18-year old female patient was referred to our hospital due to the presence of a radiolucent lesion in the mandibular region upon radiological examination. Her preoperative serological analyses revealed high levels of serum transaminases. Interpretation of her aggregate score introduced by the International Autoimmune Hepatitis Group was 18 prior to treatment, thus she was diagnosed as AIH.
Predonisolone revealed to be very effective for the treatment of AIH. Enucleation of the mandibular cyst was performed under general anesthesia without further dysfunction of the liver.
