Presence of Serum Antinuclear Antibodies Does Not Impact Long-Term Outcomes in Nonalcoholic Fatty Liver Disease

Ramy Younes, Olivier Govaere, Salvatore Petta, Luca Miele, Dina Tiniakos, Alastair Burt, Ezio David, Fabio Maria Vecchio, Marco Maggioni, Daniela Cabibi, Anna L. Fracanzani, Chiara Rosso, Maria J. Garcia Blanco, Angelo Armandi, Gian Paolo Caviglia, Marco Y. W. Zaki, Antonio Liguori, Paolo Francione, Grazia Pennisi, Antonio GriecoLuca Valenti, Quentin M. Anstee, Elisabetta Bugianesi

Research output: Contribution to journalArticle

Abstract

INTRODUCTION: We investigated the longitudinal impact of antinuclear antibody (ANA) on clinical outcomes and survival in nonalcoholic fatty liver disease (NAFLD). METHODS: ANA were found in 16.9% of 923 biopsy-proven NAFLD patients, but none of them had histologic autoimmune hepatitis (AIH) or developed AIH after a mean follow-up of 106±50 months. RESULTS: Although ANA-positive cases had a higher prevalence of nonalcoholic steatohepatitis at baseline, the occurrence of liver-related events, hepatocellula carcinoma, cardiovascular events, extrahepatic malignancy, and overall survival were similar to ANA-negative. DISCUSSION: Once AIH has been ruled out, the long-term outcomes and survival are unaffected by the presence of ANA in patients with NAFLD.
Original languageEnglish
Pages (from-to)1289-1292
Number of pages4
JournalTHE AMERICAN JOURNAL OF GASTROENTEROLOGY
Volume115
DOIs
Publication statusPublished - 2020

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