Evidence map›Paper›PMID 21647651›Full record

ReviewDigestive diseases and sciences2011

Cryptogenic chronic hepatitis and its changing guise in adults.

Albert J Czaja

Abstract readReview
PubMed Publisher
In one paragraph

Review in Digestive diseases and sciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 52 citations in OpenAlex.

  1. Genetics of liver disease in adults.Hepatology communications · 2024
    Review
  2. Cryptogenic chronic hepatitis: looking for an ideal diagnostic algorithm.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Article
  3. Article
  4. Undiagnosed liver diseases.Translational gastroenterology and hepatology · 2021
    Review
  5. Explant liver evaluation decodes the mystery of cryptogenic cirrhosis!JGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The Enigma of Hepatitis E Virus.Gastroenterology & hepatology · 2017
    Article
  11. Adaptive immunity in the liver.Cellular & molecular immunology · 2016
    Review
  12. Review
  13. Review
  14. Article
  15. Acute and acute severe (fulminant) autoimmune hepatitis.Digestive diseases and sciences · 2013
    Review
  16. Article
  17. Article
  18. Review
  19. Keratin 8 variants are associated with cryptogenic hepatitis.Virchows Archiv : an international journal of pathology · 2012
    Article
  20. Cryptogenic hepatitis and bartonellosis.Digestive diseases and sciences · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Albert J CzajaDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905, USA. czaja.albert@mayo.edu
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cryptogenic chronic hepatitis is a disease that is unexplained by conventional clinical, laboratory and histological findings, and it can progress to cirrhosis, develop hepatocellular carcinoma, and require liver transplantation. The goals of this review are to describe the changing phenotype of cryptogenic chronic hepatitis in adults, develop a diagnostic algorithm appropriate to current practice, and suggest treatment options. The frequency of cryptogenic hepatitis is estimated at 5.4%. Cryptogenic cirrhosis is diagnosed in 5-30% of patients with cirrhosis, and it is present in 3-14% of adults awaiting liver transplantation. Nonalcoholic fatty liver disease has been implicated in 21-63% of patients, and autoimmune hepatitis is a likely diagnosis in 10-54% of individuals. Viral infections, hereditary liver diseases, celiac disease, and unsuspected alcohol or drug-induced liver injury are recognized infrequently in the current cryptogenic population. Manifestations of the metabolic syndrome heighten the suspicion of nonalcoholic fatty liver disease, and the absence of hepatic steatosis does not discount this possibility. The diagnostic scoring system of the International Autoimmune Hepatitis Group can support the diagnosis of autoimmune hepatitis in some patients. Certain genetic mutations may have disease-specificity, and they suggest that some patients may have an independent and uncharacterized disease. Corticosteroid therapy is effective in patients with autoimmune features, and life-style changes and specific therapies for manifestations of the metabolic syndrome are appropriate for all obese patients. The 1- and 5-year survivals after liver transplantation have ranged from 72-85% to 58-73%, respectively.

Indexed as

AutoimmunityHepatitis, AutoimmuneHepatitis, ChronicLiver TransplantationAdultGlobal HealthHumansImmunosuppressive AgentsMorbidityPrognosisRisk FactorsImmunosuppressive Agents

Identifiers

PMID21647651
OpenAlexW2089655714

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.