Muñoz Bertrán E, Rosa Salazar V, Hostalet Robles F, Correa Estañ JA, Belda Abad G, Muñoz Ramírez E. [Autoimmune hepatitis caused by acute hepatitis due to hepatitis A virus].
GASTROENTEROLOGIA Y HEPATOLOGIA 2003. [PMID:
12361532 DOI:
10.1016/s0210-5705(02)70300-2]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We describe the case of a 27-year-old man who presented acute hepatitis due to hepatitis A virus infection. Over the following weeks he consistently presented elevated transaminase levels and jaundice. Antinuclear and anti-smooth muscle antibodies, hypergammaglobulinemia and periportal necrosis were detected in the liver biopsy. The patient was diagnosed with autoimmune hepatitis and responded well to treatment with immunosuppressive drugs. This case, as well as other published reports, suggest that in certain individuals, acute hepatitis A may be the decisive factor leading to autoimmune hepatitis.
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