Con: Steroids Should Not Be Withdrawn in Transplant Recipients With Autoimmune Hepatitis
Eleni Theocharidou, Michael A. Heneghan – 12 June 2018 – Autoimmune liver diseases (AILDs) can recur following liver transplantation (LT) despite immunosuppressive therapy, with implications for graft survival. Although the evidence is not robust, disease recurrence seems to occur in the presence of less intense and/or steroid‐free immunosuppression (IS) in particular in the case of autoimmune hepatitis (AIH). The main risk factor for AIH recurrence is the severity of disease activity in the explant and potential donor/recipient human leukocyte antigen D‐related 3 (DR3) mismatch.