אבחנה של הפטיטיס אוטואימוני ללא ביופסיאת כבד.

A 17 YEAR OLD GIRL WAS JUST RELEASED FROM THE HOSPITAL (NOT BEILINSON) HERE IN ISRAEL AFTER A DIAGNOSIS OF FULMINANT LIVER FAILURE, AND ALMOST REQUIRING A LIVER TRANSPLANT. SHE IS CURRENTLY UNDER STEROID TREATMENT, THERE IS A WRITTEN DIAGNOSIS OF AUTOIMMUNE HEPITITIS - BUT THERE WAS NO LIVER BIOPSY PERFORMED.SHE IS DOING WEEKLY BLOOD WORK IN THE KUPPAH. WE ARE EMAILING OR FAXING THE TEST RESULTS TO THE GI DOCTOR IN THE HOSPITAL. THE DOCTOR HAS NOT RESPONDED IN 2 DAYS SINCE THE EMAIL WAS SENT. THE SECRETARY WAS NOTIFIED. I HAVE NO DIRECT TELEPHONE NUMBER FOR THE PHYSICIAN AND I HAVE QUESTIONS REGARDING THE ENZYME LEVELS. WHAT IS THE ACCEPTED MODE OF COMMUNICATION WITH THE MEDICAL TEAM IN SUCH A CASE/ 2 IS IT DANGEROUS OR NOT ADVISED TO DO A BIOPSY WHEN UNDER STEROID TREATMENT WE ARE FEELING RATHER LOST