A 53-year-old African American female with a past medical history significant for RA presents to the clinic. She complains of fatigue, nausea, dark urine, and loss of appetite. Pertinent positives on...

A 53-year-old African American female with a past medical history significant for RA presents to the clinic. She complains of fatigue, nausea, dark urine, and loss of appetite. Pertinent positives on physical exam include an enlarged liver and jaundice. Her AST and ALT are elevated, while GGT and Alk Phos are normal. Her hepatitis panel is positive for antiHCV, but her PCR is negative for virus. She is also positive for high titers of antismooth muscle antibodies. What is the patient’s diagnosis?

A. Acute viral hepatitis (HCV)

B. Autoimmune hepatitis

C. Alcoholic hepatitis

D. Nonalcoholic fatty liver disease