Prolonged and biphasic acute hepatitis A in hepatitis B virus carrier

Italian Journal of Medicine

Michela Ghersetti¹  Silvia Grazioli¹  Elena Garlatti Costa¹  Pietro Casarin¹ 

[1] Department of Internal Medicine, Santa Maria degli Angeli Hospital, Pordenone;

关键词: Hepatitis A virus;    hepatitis B virus;    inactive carrier HBsAg(+)ve;    prolonged and biphasic hepatitis A virus infection/relapsing hepatitis A;    antibody.;   

DOI  :  10.4081/itjm.2016.571

来源: DOAJ

【 摘 要 】

Acute hepatitis A is generally a self-limited disease in healthy subjects within few weeks, but an uncommon type of prolonged and biphasic acute course of hepatitis A infection has been also described. This type of presentation is observed in about 6-10% of patients, but a small number of reports, concerning this topic, are available in literature. In addition, hepatitis A virus (HAV) infection in hepatitis B virus (HBV) carriers has rarely been discussed. A 41-year-old Italian man, already known to our Department for HBV infection as an inactive carrier HBsAg(+)ve, experienced a prolonged and biphasic course of acute hepatitis A, lasting about 7 months. In this patient possible factors, causing the second flare of transaminases, were excluded (in particular autoimmunity). Liver biopsy as well HAV RNA search in blood/stools were not performed. In conclusion, the hepatologist should take into account this type of atypical course in patients with HAV-related hepatitis and should promote HAV vaccination in subjects with HBV-chronic hepatitis, to prevent possible life-threatening acute exacerbation of hepatic damage, mainly in HBV-carriers with more severe forms of liver diseases.

【 授权许可】

Unknown