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ID 38143
本文ファイル
著者
Nakamura, Fukashi
Sasaki, Hiroshi
Ueda, Masanori
Yamanoue, Michio
Kajihara, Hiroki
キーワード
Fulminant hepatitis
Hepatitis virus type B
HBs antigen
HBs antibody
IgM HBc
NDC
医学
抄録(英)
A case of fulminant viral hepatitis type B in the late stage of pregnancy was successfully treated with glucagon-insulin therapy, corticosteroids and other drugs. A 26-year-old female (housewife and primipara) suddenly developed severe hepatic dysfunction and disturbance of consciousness at the 36th week of pregnancy. Sequential blood examinations revealed early response to HBs antibody and delayed response to HBc antibody but HBs antigen was not detectable. The two antibodies disappeared from the serum rapidly and anti-HBc IgM remained undetectable throughout the clinical course of the acute hepatitis. It is not rare for HBs antibody to appear and for HBs antigen to disappear rapidly in the early stage of the clinical course of fulminant viral hepatitis type B. Anti-HBc IgM is considered valuable in the diagnosis of viral hepatitis type B. However, the present case demonstrated that anti-HBc IgM may be undetectable throughout the clinical course in some cases of viral hepatitis type B.
掲載誌名
Hiroshima Journal of Medical Sciences
37巻
1号
開始ページ
45
終了ページ
49
出版年月日
1988-03
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
PubMedID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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