Child Kidney Dis.  2015 Apr;19(1):39-42. 10.3339/chikd.2015.19.1.39.

Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Schonlein Purpura

Affiliations
  • 1Departments of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. naesusana@gmail.com, jinped@cha.ac.kr

Abstract

Henoch-Schonlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Schonlein purpura caused by a primary Epstein-Barr virus infection has been rarely reported. Here, we report the case of a 32-month-old female patient who presented with Henoch-Schonlein purpura. Based on abnormal liver function test results and positive results for Epstein-Barr virus infection markers, a diagnosis of Epstein-Barr virus hepatitis manifesting as Henoch-Schonlein purpura was made. Treatment with methylprednisolone and hydration improved the symptoms, and a switch to oral steroids was effective in completely alleviating the purpura. No recurrence was noted and no liver function abnormalities were detected during the follow up period.

Keyword

Henoch-Schonlein purpura; Arthritis; Epstein-Barr virus; Hepatitis; Pathogenesis

MeSH Terms

Arthritis
Child, Preschool
Diagnosis
Female
Follow-Up Studies
Hepatitis*
Herpesvirus 4, Human*
Humans
Liver
Liver Function Tests
Methylprednisolone
Purpura
Purpura, Schoenlein-Henoch*
Recurrence
Steroids
Methylprednisolone
Steroids
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