Hi. I had a hepatic episode just over a year ago where my liver function bloods were abnormal for approx 6-8 weeks. I was mildly jaundiced and very itchy. I had a significantly positive ANA and was seen by a gastroenterologist who felt certain that I was displaying a typical picture of autoimmune hepatitis. At the time that I saw her my symptoms had settled and my bloods were back to normal. She was not keen to do a liver biopsy at that stage so just said we would wait for my next episode. In January this year I was ANA negative. At my review in feb, she was still sure that her initial diagnosis was correct and my gp has now coded my notes as autoimmune hepatitis. I am currently applying for critical illness cover and they want to know if I have this condition. Do I need a liver biopsy to confirm or are bloods enough? And if I do need a liver biopsy, surely it will still show if I have autoimmune hepatitis if taken when an asymptomatic? Any clarity on this would be helpful. Thank you.
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