小儿的自身免疫性肝炎常显示一些非特异性症状,如肝肿大和血清转氨酶升高及高丙球蛋白血症;但也有特征表现,如存在自身抗体。由于有潜隐性出血并伴随自身免疫溶血,故可有贫血症状。本文作者介绍了一例患内脏利什曼病但临床症状表现为自身免疫性肝炎的患儿的情况。 Autoimmune hepatitis in children often shows some non-specific symptoms, such as hepatomegaly and elevated serum transaminases and hypergammaglobulinemia; but there are also features such as the presence of autoantibodies. Because of latent hemorrhage with autoimmune hemolysis, it may have anemia. The authors describe the case of a child with visceral leishmaniasis whose clinical manifestations are autoimmune hepatitis.