Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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A Case of Pleural Effusion Associated with Acute Hepatits A

A형 간염에 동반된 흉막 삼출 1예

  • Kim, Dong Il (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Park, Jae Ock (Department of Pediatrics, College of Medicine, Soonchunhyang University) ;
  • Kim, Chang Hwi (Department of Pediatrics, College of Medicine, Soonchunhyang University)
  • 김동일 (순천향대학교 의과대학 소아과학교실) ;
  • 박재옥 (순천향대학교 의과대학 소아과학교실) ;
  • 김창휘 (순천향대학교 의과대학 소아과학교실)
  • Received : 2005.07.27
  • Accepted : 2005.09.01
  • Published : 2005.09.01
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Abstract

Pleural effusion represents a rare complication of acute hepatitis A infection. Twelve year-old girl was admitted with complaints of general weakness, nausea and icteric sclerae. She also complained of right chest pain. Right decubitus view of chest radiograph showed pleural fluid accumulation. Laboratory findings were as follows: AST/ALT 1692/1970 IU/L, total/direct bilirubin 4.48/3.66 mg/dL and HA IgM Ab (+). On the seventh day of hospitalization, her general condition was much improved and chest radiography showed resolved pleural effusion.

급성 A형 간염에서 흉막 삼출은 드물게 발생하는 합병증으로 불리한 예후인자는 아니며 대개는 양성의 경과를 취한다. 저자들은 전신쇠약과 황달로 내원한 12세 여아에게서 A형 간염에 동반된 흉막 삼출을 진단 하였고 특별한 치료 없이 안정 후에 호전된 1예를 경험하였기에 보고하는 바이다.

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