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En 28-årig kvinna söker vårdcentralen pga trötthet, illamående, viktnedgång och buksmärtor sedan en vecka tillbaka. Hon har inte haft mens sedan tre månader tillbaka, gravtest negativt. Pat har hypotyreos sedan tidigare och står på substitutionsbehandling. Aktuell status: AT opåverkad, lätt gula sclerae. BT 125/85, temp 37,7, HF 65. Cor pulm ua. Buk: mjuk, diffus palpationsömhet, ingen palpabel organomegali. Lab: Hb 125, TPK 200, krea 70, ASAT 5, ALAT 5,2, ALP 2, GT 0,5. Hepatitserologi (virusprover) neg. P-fraktioner (elfores) talar för lätt inflammationsbild, IgG 25 g/L (polyklonal stegring). Vilken diagnos är mest sannolik? Endast ett svar ska markeras. - Alfa-1-antitrypsinbrist- Autoimmun hepatit- Primär biliär kolangit- Primär skleroserande kolangit- Wilsons sjukdom1 p
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