Nonalcoholic steatohepatitis is an increasingly recognized clinicopath
ologic condition. We report two cases of nonalcoholic steatohepatitis
in middle-aged Japanese women whose clinical and laboratory data mimic
ked autoimmune hepatitis. Histologic findings of both cases were defin
ite steatohepatitis with portal and pericellular fibrosis. Both patien
ts' HLA-DR haplotypes were DR4 and DR2, which are frequently observed
in Japanese patients with autoimmune hepatitis. Our cases suggest a di
versity in the pathogenesis of nonalcoholic steatohepatitis.