Parameter/feature | Score |
Female sex | +2 |
ALP:AST (or ALT) ratio | |
<1.5 | +2 |
1.5–3.0 | 0 |
>3.0 | −2 |
Serum globulins or IgG above normal | |
>2.0 | +3 |
1.5–2.0 | +2 |
1.0–1.5 | +1 |
<1.0 | 0 |
ANA, SMA or LKM-1 | |
>1:80 | +3 |
1:80 | +2 |
1:40 | +1 |
<1:40 | 0 |
AMA positive | −4 |
Hepatitis viral markers | |
Positive | −3 |
Negative | +3 |
Drug history | |
Positive | −4 |
Negative | +1 |
Average alcohol intake | |
<25 g/day | +2 |
>60 g/day | −2 |
Liver histology | |
Interface hepatitis | +3 |
Predominantly lymphoplasmacytic infiltrate | +1 |
Rosetting of liver cells | +1 |
None of the above | −5 |
Biliary changes | −3 |
Atypical features | −3 |
Other autoimmune disease(s) | |
In either patient or first-degree relative | +2 |
Optional additional parameters | |
Seropositivity for other defined antibodies | +2 |
HLA DR3 or DR4 | +1 |
Response to therapy | |
Remission alone | +2 |
Remission with relapse | +3 |
Interpretation of aggregate scores | |
Pre-treatment | |
Definite AIH | >15 |
Probable AIH | 10–15 |
Post-treatment | |
Definite AIH | >17 |
Probable AIH | 12–17 |
AMA, antimitochondrial antibodies; ANA, antinuclear antibody; ALP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; LKM-1, liver kidney microsomal-1 antibody; SMA, smooth muscle antibody.