It was first described in the 1950s and has been known throughout the decades by various names, including chronic active hepatitis, chronic aggressive hepatitis, lupoid hepatitis, plasma cell hepatitis, and autoimmune chronic active hepatitis
. (1) Here we report an intriguing case of a 60-year-old female who initially presented with non-specific chest pain and her inpatient stay necessitated an extensive work-up for her unexplained abnormal liver tests and systemic chronic inflammatory symptoms.
Autoimmune chronic active hepatitis
, now termed autoimmune hepatitis (AIH), is a condition of unknown aetiology, characterized by progressive destruction of liver parenchyma, often leading to hepatic fibrosis and subsequent cirrhosis, and responding to immunosuppressive therapy with steroids with or without azathioprine .