| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000406069 |
| ISSN: | 1665-2681 |
| Authors: | Calisti, Giorgio1 Irish, Dianne N1 Ijaz, Samreen Tedder, Richard S Moore, Kevin2 |
| Institutions: | 1Royal Free London NHS Foundation Trust, Department of Virology, Londres. Reino Unido 2University College London, Royal Free and University College Medical School, Londres. Reino Unido |
| Year: | 2017 |
| Season: | Ene-Feb |
| Volumen: | 16 |
| Number: | 1 |
| Pages: | 160-163 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico |
| English abstract | Acute hepatitis E is becoming increasingly recognised in Europe with up to 40% of the population in Southern France being exposed to the virus, which is harboured in pigs. Patients with known liver disease may present with acute hepatitis E and present a diagnostic challenge. For example patients with autoimmune hepatitis (AIH) who are immunosuppressed and contract hepatitis E may be at increased risk of developing chronicity due to concurrent immunosuppression. Importantly, the diagnosis may be missed with the infection misdiagnosed as an autoimmune flare, and immunosuppression increased by the attending physician, thus enhancing the risk of chronicity of infection leading to progressive liver injury in immunocompromised patients. We report a case of acute hepatitis E in a patient with AIH and discuss the features that helped us differentiating it from an autoimmune flare |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Gastroenterología, Inmunología, Hepatitis E, Virus, Hepatitis autoinmune, Inmunosupresión |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Immunology, Hepatitis E, Virus, Autoimmune hepatitis, Immunosuppression |
| Full text: | Texto completo (Ver HTML) |
