지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives: Hepatitis A is a typical acute hepatitis caused by hepatovirus, and then most patients recover easily without progression to chronic condition. However, certain cases have the risk of severe symptoms or even death. This case report presented a hepatitis A accompanied with pancreatitis, which had been completely recovered in a Korean medicine hospital.
Case presentation: A 38-year woman had felt the malaise, mild chilling, muscle pain and abdominal discomfort for 10 days, which led her visit doctors and took anti-pyretic analgesics and digestants. The symptoms, especially epigastric pain and fatigue, became worse, and then she hospitalized in a Korean medicine hospital. Based on the drastic elevations of hepatic enzymes (aspartate transaminase 1,604 IU/L and alanine transaminase 2,825IU/L) with an anti-HAV IgM positive, she was diagnosed with hepatitis A. After bed rest and herbal drug treatment (CGX and Innae-Tang) for 5 days, the laboratory abnormalities and subjective symptoms had been improved gradually, except the upper gastric discomfort and pain. Those symptoms had anticipated the comorbidity with HAV-induced pancreatitis, supported by the high level of serum lipase release. Another 5-day hospitalized treatment improved all subjective symptoms and then the laboratory results were completely normalized including detection of anti-HAV IgG within 15 days after discharge.
Conclusion: This study presented a typical hepatitis A accompanied with pancreatitis, which should be considered in diagnosis and management of hepatitis A.
Case presentation: A 38-year woman had felt the malaise, mild chilling, muscle pain and abdominal discomfort for 10 days, which led her visit doctors and took anti-pyretic analgesics and digestants. The symptoms, especially epigastric pain and fatigue, became worse, and then she hospitalized in a Korean medicine hospital. Based on the drastic elevations of hepatic enzymes (aspartate transaminase 1,604 IU/L and alanine transaminase 2,825IU/L) with an anti-HAV IgM positive, she was diagnosed with hepatitis A. After bed rest and herbal drug treatment (CGX and Innae-Tang) for 5 days, the laboratory abnormalities and subjective symptoms had been improved gradually, except the upper gastric discomfort and pain. Those symptoms had anticipated the comorbidity with HAV-induced pancreatitis, supported by the high level of serum lipase release. Another 5-day hospitalized treatment improved all subjective symptoms and then the laboratory results were completely normalized including detection of anti-HAV IgG within 15 days after discharge.
Conclusion: This study presented a typical hepatitis A accompanied with pancreatitis, which should be considered in diagnosis and management of hepatitis A.
목차
Introduction
Case presentation
Discussion and Conclusion
References
참고문헌 (20)
참고문헌 신청
Goh Eun Chung / 2011 / Seroprevalence of Hepatitis A and Associated Socioeconomic Factors in Young Healthy Korean Adults / Gut and Liver 5(1):88~92
Jacobsen KH / 2004 / Declining hepatitis A seroprevalence : a global review and analysis / Epidemiol Infect 132(6):1005~1022
서주윤 / 2012 / Pattern of Hepatitis A Incidence According to Area Characteristics Using National Health Insurance Data / 예방의학회지 45(3):164~173
강성희 / 2019 / Perspectives on Acute Hepatitis A Control in Korea / Journal of Korean Medical Science 34(36):1~4
이현주 / 2011 / Seroepidemiology of Hepatitis A in Korea: Changes over the Past 30 Years / Journal of Korean Medical Science 26(6):791~796
Jacobsen KH / 2004 / Declining hepatitis A seroprevalence : a global review and analysis / Epidemiol Infect 132(6):1005~1022
서주윤 / 2012 / Pattern of Hepatitis A Incidence According to Area Characteristics Using National Health Insurance Data / 예방의학회지 45(3):164~173
강성희 / 2019 / Perspectives on Acute Hepatitis A Control in Korea / Journal of Korean Medical Science 34(36):1~4
이현주 / 2011 / Seroepidemiology of Hepatitis A in Korea: Changes over the Past 30 Years / Journal of Korean Medical Science 26(6):791~796
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