Normal LFT but diagnosed with AIH
I (35/F) was recently diagnosed with AIH though my liver enzymes level aren't high (ALT 23 AST 40 IGG 20.75 ALP103 GGT52).
I found out I had pancytopenia in May2026 (mid July counts: low wbc 1.7 rbc 3.6 and platelets 60) and did a bone marrow aspiration (cleared) and bunch of blood work up. I subsequently did a fibroscan which shows liver cirrhosis and transjugular liver biospy which shows signs of AIH. I'm Hep b c - and done autoimmune tests (SMA- ANA 160) and did an OGD for EVL. The hepatologists concluded my case was not straightforward and i have AIH with liver cirrhosis (and portal hypertension).
Just started on Prednisolone 20mg (step down gradually for 1 month) and azathioprine 50mg last Wed (2 weeks). I raised my concern of worsening blood counts as a side effect but Dr says my condition needs to be treated and will need close monitoring, MMF or tacrolimus aren't as effective.
So far i feel tired and no mood to do much, finding it harder than usual to concentrate. While at work, i am mostly on autopilot mode...Prednisolone had also caused some blood sugar spikes (I am also diagnosed with T2 diabetes in May 2026).
Does anyone here has non elevated LFT with AIH? Or existing pancytopenia condition with AIH? Does Azathioprine really worsen blood counts? 🙏