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- Title
Fulminant hepatic failure in a patient with inactive HBsAg carrier state, acute hepatitis E and thyrotoxicosis
- Authors
Hui, Alex Yui; Chan, Henry Lik Yuen; Chan, Francis Ka Leung; Leung, Nancy Wai Yee; Sung, Joseph Jao Yiu
- Abstract
A 38-year-old man presented with jaundice and significant weight loss. Investigations found positive hepatitis B surface antigen (HBsAg). His hepatitis B e antigen (HBeAg) was negative and HBV DNA was not detectable in the blood. Further tests revealed that he also had acute hepatitis E infection and uncontrolled thyrotoxicosis. The hypercatabolic state of coexisting thyrotoxicosis and acute hepatitis caused marked weight loss and clinical deterioration with fulminant hepatic failure. Institution of successful anti-thyroid treatment and supplemental nutrition effectively reversed the disease progression and the patient recovered fully.
- Subjects
LIVER diseases; HEPATITIS B; VIRAL hepatitis; WEIGHT loss; NUCLEIC acids; DISEASES in men
- Publication
Hepatology Research, 2003, Vol 27, Issue 3, p248
- ISSN
1386-6346
- Publication type
Article
- DOI
10.1016/S1386-6346(03)00234-1