immunomodulators or biologics: MMR, yellow fever and varicella vaccinations are contraindicated
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Autoimmune hepatitis presents with ast and alt elevations greater than fifteen times upper limit of normal. Check spep, then check ana and anti smooth muscle antibody.
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immunomodulators or biologics: MMR, yellow fever and varicella vaccinations are contraindicated
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Autoimmune Hepatitis AASLD Guidelines "Incapacitating symptoms
associated with hepatic inflammation, such as fatigue
and arthralgia, are also absolute indications for treatment regardless of other indices of disease severity" Prednisone 30 mg PO qday and Azathioprine 50 mg PO qday
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