Vaccine-related autoimmune hepatitis: the same disease as idiopathic autoimmune hepatitis? Two clinical reports and review

Scand J Gastroenterol. 2017 Jan;52(1):18-22. doi: 10.1080/00365521.2016.1224379. Epub 2016 Aug 26.

Abstract

Autoimmune hepatitis (AIH) develops in genetically predisposed individuals after an inciting or environmental trigger. These factors are unknown but may include viral infections, environmental toxins, drugs and vaccinations. Few reports are written about vaccination as potential trigger of autoimmune hepatitis. In this article, we additionally describe two vaccine-related cases of AIH. In both cases, long-term immune-suppressive therapy is demanded. Moreover, we present the cases of vaccine-related AIH from literature and compare these with idiopathic AIH and our own cases.

Keywords: Hepatitis A virus; autoimmune hepatitis; autoimmunity; vaccination.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Autoantibodies / blood
  • Bile Ducts / pathology
  • Female
  • Hepatitis A / prevention & control
  • Hepatitis A Vaccines / administration & dosage
  • Hepatitis A Vaccines / adverse effects*
  • Hepatitis, Autoimmune / diagnosis*
  • Hepatitis, Autoimmune / drug therapy
  • Hepatitis, Autoimmune / etiology*
  • Humans
  • Immunization / adverse effects*
  • Immunosuppression Therapy / methods
  • Liver / immunology
  • Liver / pathology
  • Liver / virology
  • Prednisone / therapeutic use
  • Young Adult

Substances

  • Autoantibodies
  • Hepatitis A Vaccines
  • Prednisone