Table 2.

Comparison of idiosyncratic DILI, ‘drug-induced’ autoimmune hepatitis and idiopathic autoimmune hepatitis46–49

Idiosyncratic DILI‘Drug induced’ AIHIdiopathic AIH
HistologyPortal neutrophils, intracellular cholestasisInterphase hepatitis, plasma cellsInterphase hepatitis, plasma cells, emperipolesis, rosettes
Rash, eosinophilia+/−+/−-
Fibrosis+/−+++
Response to steroids-++
Relapse on steroid withdrawal-+/−+
  • AIH = autoimmune hepatitis, DILI = drug-induced liver injury