Korean J Med.
2009 Aug;77(Suppl 1):S52-S56.
A case of hepatitis A and E coinfection in an autoimmune hepatitis patient
- Affiliations
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- 1Division of Gastroenterology, Department of Internal Medicine,Kwandong University College of Medicine, Myungji Hospital, Goyang, Korea. jhcho9328@kd.ac.kr
- 2Department of Pathology, Kwandong University College of Medicine, Myungji Hospital, Goyang, Korea.
Abstract
- In Korea, the number of Hepatitis A virus (HAV) infections has suddenly increased and has become the most common cause of acute viral hepatitis during recent years. A 36-year-old female was diagnosed with acute fulminant hepatitis caused by HAV. Her clinical symptoms and AST/ALT recovered after supportive treatment; however, a re-elevation of AST/ALT was observed. Weperformed another viral marker study, autoimmune marker study and liver biopsy to rule out another hepatic insult. As a result, anti- HEV IgM, an anti-nuclear antibody and anti-smooth muscle antibody were positive and liver histology showed chronic hepatitis. In conclusion, we report a case of hepatitis A and E coinfection in an autoimmune hepatitis patient.