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Autoimmune hepatitis (AIH) is liver inflammation caused by your immune system attacking liver cells. The exact etiology of autoimmune hepatitis is unknown, but genetic and environmental factors appear to interact over time to cause the disease. Autoimmune hepatitis, if left untreated, can lead to liver scarring (cirrhosis) and eventually liver failure. However, if diagnosed and treated early, autoimmune hepatitis can often be controlled with immune-suppressing drugs. When autoimmune hepatitis does not respond to medication or the liver is severely damaged, a liver transplant may be an option.