TY - JOUR
T1 - Presence of Serum Antinuclear Antibodies Does Not Impact Long-Term Outcomes in Nonalcoholic Fatty Liver Disease
AU - Younes, Ramy
AU - Govaere, Olivier
AU - Petta, Salvatore
AU - Miele, Luca
AU - Tiniakos, Dina
AU - Burt, Alastair
AU - David, Ezio
AU - Vecchio, Fabio Maria
AU - Maggioni, Marco
AU - Cabibi, Daniela
AU - Fracanzani, Anna L.
AU - Rosso, Chiara
AU - Blanco, Maria J. Garcia
AU - Armandi, Angelo
AU - Caviglia, Gian Paolo
AU - Zaki, Marco Y. W.
AU - Liguori, Antonio
AU - Francione, Paolo
AU - Pennisi, Grazia
AU - Grieco, Antonio
AU - Valenti, Luca
AU - Anstee, Quentin M.
AU - Bugianesi, Elisabetta
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - n/a
KW - n/a
UR - http://hdl.handle.net/10807/219759
U2 - 10.14309/ajg.0000000000000676
DO - 10.14309/ajg.0000000000000676
M3 - Article
SN - 1572-0241
VL - 115
SP - 1289
EP - 1292
JO - THE AMERICAN JOURNAL OF GASTROENTEROLOGY
JF - THE AMERICAN JOURNAL OF GASTROENTEROLOGY
ER -