Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy

There are limited therapeutic options available for patients with autoimmune hepatitis in whom conventional treatment fails. A case series of five patients unresponsive to or unable to take azathioprine, 6-mercaptopurine or corticosteroids who were treated with mycophenolate mofetil (MMF) is reporte...

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Main Authors: Shane M Devlin, Mark G Swain, Stefan J Urbanski, Kelly W Burak
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2004/504591
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author Shane M Devlin
Mark G Swain
Stefan J Urbanski
Kelly W Burak
author_facet Shane M Devlin
Mark G Swain
Stefan J Urbanski
Kelly W Burak
author_sort Shane M Devlin
collection DOAJ
description There are limited therapeutic options available for patients with autoimmune hepatitis in whom conventional treatment fails. A case series of five patients unresponsive to or unable to take azathioprine, 6-mercaptopurine or corticosteroids who were treated with mycophenolate mofetil (MMF) is reported. While on MMF, alanine aminotransferase normalized or remained normal in all patients. MMF had a steroid-sparing effect and histological remission was demonstrated in one patient after seven months of MMF. One patient experienced an uncomplicated episode of pyelonephritis. In conclusion, MMF can effectively induce and maintain remission in refractory autoimmune hepatitis patients.
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institution Kabale University
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publisher Wiley
record_format Article
series Canadian Journal of Gastroenterology
spelling doaj-art-7e828cfda76648c8843e322028a0c0252025-02-03T05:51:26ZengWileyCanadian Journal of Gastroenterology0835-79002004-01-0118532132610.1155/2004/504591Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard TherapyShane M DevlinMark G SwainStefan J UrbanskiKelly W BurakThere are limited therapeutic options available for patients with autoimmune hepatitis in whom conventional treatment fails. A case series of five patients unresponsive to or unable to take azathioprine, 6-mercaptopurine or corticosteroids who were treated with mycophenolate mofetil (MMF) is reported. While on MMF, alanine aminotransferase normalized or remained normal in all patients. MMF had a steroid-sparing effect and histological remission was demonstrated in one patient after seven months of MMF. One patient experienced an uncomplicated episode of pyelonephritis. In conclusion, MMF can effectively induce and maintain remission in refractory autoimmune hepatitis patients.http://dx.doi.org/10.1155/2004/504591
spellingShingle Shane M Devlin
Mark G Swain
Stefan J Urbanski
Kelly W Burak
Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
Canadian Journal of Gastroenterology
title Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
title_full Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
title_fullStr Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
title_full_unstemmed Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
title_short Mycophenolate Mofetil for the Treatment of Autoimmune Hepatitis in Patients Refractory to Standard Therapy
title_sort mycophenolate mofetil for the treatment of autoimmune hepatitis in patients refractory to standard therapy
url http://dx.doi.org/10.1155/2004/504591
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AT stefanjurbanski mycophenolatemofetilforthetreatmentofautoimmunehepatitisinpatientsrefractorytostandardtherapy
AT kellywburak mycophenolatemofetilforthetreatmentofautoimmunehepatitisinpatientsrefractorytostandardtherapy