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Competing interests The authors declare selleck chemicals that they have no competing interests. Authors’ contributions MJ participated in the design of the study, carried out the analysis and interpretation of data and drafted the manuscript. KNA contributed to the interpretation of data and revised the manuscript. MJS-G carried out the analysis and interpretation of data and drafted the manuscript. MAM
carried out the analysis and interpretation of data and drafted the manuscript. PAL participated in the design of the study, Carried of histological grading, contributed to the interpretation Thalidomide of data and revised the manuscript. All authors read and approved the final manuscript.”
“Background Autoimmune liver diseases (AILD) are a group of immunologically induced hepatic damage that are either hepatocellular or cholestatic [1, 2]. The hepatocellular forms are characterized by a significant elevation of the serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST), as compared with the biliary enzymes, together with elevated serum bilirubin. The cholestatic forms involve either the intra- or the extra-hepatic biliary systems or both. Cholestasis will ultimately cause impairment of bile formation and/or bile flow which may clinically present with fatigue, pruritus, and jaundice [1, 2]. The biochemical markers include increases in serum alkaline phosphatase (ALP) and gamma-glutamyl transpeptidase (GGT), followed by conjugated hyperbilirubinemia, at more advanced stages. Cholestasis is considered chronic if it lasts more than 6 months . Most chronic cholestatic diseases are purely intra-hepatic [3, 4]. They are considered as different disease entities based on the clinical, laboratory and histological features [3, 4].