Evidence map›Paper›PMID 32995712›Full record

ReviewJHEP reports : innovation in hepatology2020

Approach to the patient with acute severe autoimmune hepatitis.

Mussarat N Rahim, Rosa Miquel, Michael A Heneghan

Abstract readReview
In one paragraph

Review in JHEP reports : innovation in hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
–field-weighted citation impact
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

43 citing papers in PubMed.

  1. Trial
  2. Article
  3. Autoantibodies in the follow-up of autoimmune hepatitis.Journal of translational autoimmunity · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Management of acute liver failure-an updated literature review.World journal of critical care medicine · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Evaluation of Histological Criteria and Immunoserological Testing of Simplified Criteria for the Diagnosis of Autoimmune Hepatitis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025
    Article
  12. Article
  13. Article
  14. Evolution of Therapy in Autoimmune Hepatitis.Gastroenterology & hepatology · 2025
    Article
  15. Review
  16. Article
  17. Drug-Induced Liver Injury in Patients With Chronic Liver Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
  18. JHEP reports : innovation in hepatology · 2025
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mussarat N RahimInstitute of Liver Studies, King's College Hospital, London, SE5 9RS, UK.
Rosa MiquelLiver Histopathology Laboratory, King's College Hospital, London, SE5 9RS, UK.
Michael A HeneghanInstitute of Liver Studies, King's College Hospital, London, SE5 9RS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autoimmune hepatitis is associated with varied clinical presentations and natural history, as well as somewhat unpredictable treatment responses. Understanding how to stratify patients who require further escalation of therapy will help clinicians manage these patients. The presentation of acute severe autoimmune hepatitis (AS-AIH) is relatively uncommon, although its prevalence is potentially greater than currently perceived. Previous studies consist of small retrospective single-centre series and are not directly comparable due to the diversity of presentations, disease definitions and non-standardised treatment regimens. We define AS-AIH as those who present acutely with AIH and are icteric with an international normalised ratio ≥1.5 and no evidence of hepatic encephalopathy. Those with hepatic encephalopathy should be defined as having AS-AIH with acute liver failure. In this review, we provide a structured practical approach for diagnosing and managing this unique group of patients.

Indexed as

ACLF, acute-on-chronic liver failureAcute liver failureAcute severe presentationAIH, autoimmune hepatitisALF, acute liver failureALI, acute liver injuryALT, alanine aminotransferaseANA, anti-nuclear antibodyanti-LC-1, anti-liver cytosol-1anti-LKM, anti-liver kidney microsomalanti-SLA/LP, anti-soluble liver antigen/liver pancreasAS-AIH, acute severe autoimmune hepatitisASMA, anti-smooth muscle antibodyAST, aspartate aminotransferaseAUROC, analysis of area under the receiver operator characteristic curveAutoimmune hepatitisCorticosteroidsCT, computed tomographyDILI, drug-induced liver injuryEBV, Epstein-Barr virusHE, hepatic encephalopathyHLA, human leukocyte antigenIAIHG, International Autoimmune Hepatitis GroupINR, international normalised ratioLiver transplantationLT, liver transplantationMELD, model for end-stage liver diseaseMELD-Na, model for end-stage liver disease-sodiumMHN, massive hepatic necrosisNAC, N-acetylcysteinePT, prothrombin timeUKELD, United Kingdom end-stage liver diseaseUSALF, United States Acute Liver Failure

Identifiers

PMID32995712
PMCPMC7509236

What OpenQuestion holds

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Registered trials

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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.