https://scholars.lib.ntu.edu.tw/handle/123456789/627174
標題: | Cholestatic Viral Hepatitis | 其他標題: | 膽汁滯留性病毒性肝炎 | 作者: | GUAN-TARN HUANG DING-SHINN CHEN Ming-Yang Lai PEI-MING YANG JIN-CHUAN SHEU Teh-Hong Wang Jui-Yun Yu Juei-Low Sung |
關鍵字: | intrahepatic cholestasis;extrahepatic cholestasis;hepatitis markers | 公開日期: | 1-十月-1984 | 出版社: | Chinese journal of gastroenterology | 卷: | 1 | 期: | 4 | 起(迄)頁: | 186 | 來源出版物: | Chinese journal of gastroenterology | 摘要: | Cholestatic viral hepatitis is the least common clinical variant of viral hepatitis. The differentiation of this prolonged bile retention from extrahepatic cholestasis is clinically very important because of the totally different management. An unnecessary operation may adversely affect the good prognosis or even lead to death. In our 6 cases of cholestatic viral hepatitis, dark urine, jaundice, pale stool were seen in 6 cases, marked pruritus in 5 cases, mild fever and hepatomegaly in 3 cases. The serum bilirubin levels increased to very high level even to 54.4 mg/dl in 1 case, and alkaline phosphatase level increased also in all cases. According to hepatitis A and B markers, 2 cases were diagnosed as type A hepatitis, and 4 as non A, non B hepatitis. Endoscopic retrograde cholangiography demonstrated patent biliary tract, and peritoneoscopy showed greenish liver with some scars on the liver surface. The histopathology of the liver showed evident intrahepatic cholestasis in addition to acute viral hepatitis. The prognosis of this variant is very good, all the patients recovered completely with a clinical course of 2 to 4 months. Steroid therapy in our 2 cases didn't shorten the clinical course, so the benefit seems not justified in this disease. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/627174 | DOI: | 10.6557/GJTa.198410_1(4).0002 |
顯示於: | 醫學系 |
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