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KMID : 0361720100210020180
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Korean Journal of perinatology
2010 Volume.21 No. 2 p.180 ~ p.184
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A Case Report of Acute Hepatitis A Infection in Pregnancy
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Kim Bo-Young
Ahn Hyun-Young
Shin Jong-Chul
Kim Chan-Joo
Kwon Ji-Young
Yoon Won-Sik
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Abstract
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Hepatitis A virus infection is the most common cause of acute hepatitis but is rarely reported during pregnancy. We report a case of acute hepatitis A in a 28-year old pregnant woman at 40 weeks of gestation. Her initial complaint was fever. Three days after, she developed spontaneous labor and delivered a healthy baby vaginally. Her laboratory examination showed thrombocytopenia, elevated D-dimer and decreased Fibrinogen level as well as markedly elevated liver enzymes. In addition, oliguria and pulmonary effusion were also noted. Hepatitis A infection during pregnancy may be associated with development of labor. And the differential diagnosis with preeclampsia and acute fatty liver of pregnancy is very important for the management.
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KEYWORD
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Acute hepatitis A, Pregnancy, Labor
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