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Incidence and risk factors associated with de novo autoimmune hepatitis after liver transplantation
Author(s) -
MontanoLoza Aldo J.,
VargasVorackova Florencia,
Ma Mang,
Bain Vincent G.,
Burak Kelly,
Kumar Thara,
Mason Andrew L.
Publication year - 2012
Publication title -
liver international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.873
H-Index - 110
eISSN - 1478-3231
pISSN - 1478-3223
DOI - 10.1111/j.1478-3231.2012.02832.x
Subject(s) - autoimmune hepatitis , medicine , tacrolimus , gastroenterology , incidence (geometry) , liver transplantation , cohort , transplantation , mycophenolate , hepatitis , population , physics , environmental health , optics
Background/Aims De novo autoimmune hepatitis ( AIH ) describes the development of hepatitis with autoimmune features in liver transplant ( LT ) patients without prior diagnosis of AIH . We aimed to evaluate the incidence and risk factors for de novo AIH . Methods A cohort of 576 patients with LT for aetiologies other than AIH was evaluated. Results De novo AIH was diagnosed in 17 patients (3%) with an overall incidence of 4.0 cases per 1000 patient‐years. By univariate C ox analysis, patients who received cyclosporine A had lower risk ( HR 0.24, 95% CI 0.07–0.80, P = 0.02), whereas patients who had female donors ( HR 3.03, 95% CI 1.11–8.25, P = 0.03), donors ≥40‐years ( HR 6.95, 95% CI 1.93–25.03, P = 0.003), and those who received tacrolimus ( HR 4.39, 95% CI 1.47–13.13, P = 0.008) and mycophenolate mofetil ( HR 6.37, 95% CI 1.62–25.13, P = 0.008) had higher risk. Survival was similar in patients with de novo AIH compared with the LT population (mean survival time, 17 ± 1.5 vs. 16 ± 0.5 years, Log‐rank test; P = 0.4). Conclusions The incidence of de novo AIH is low and does not impact on long‐term survival. Recipients of female or older donor grafts, or recipients using tacrolimus, or mycophenolate mofetil as part of their immunosuppressive regimen have a higher risk of de novo AIH , whereas LT recipients maintained on cyclosporine A have a lower risk.