CONCLUSIONS
Like classical AIH, Seronegative AIH is also a diagnosis of exclusion but there can be a diagnostic dilemma due to a lack of serological autoimmunity evidence. Henceforth, the clinician should always keep this diagnosis in the list of differentials because diagnosing this condition and starting steroid therapy early in the course can lead to a substantial improvement in the liver pathology. Otherwise, the progression of the liver pathology in the absence of therapy can be detrimental, leading to stages requiring a liver transplant. The disease can also be recurrent if proper therapy is not instituted. Our case showed that the diagnosis can sometimes be made retrospectively if biopsy cannot be done.