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KMID : 0985520130180040055
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Korean Journal of Pancreas and Biliary Tract
2013 Volume.18 No. 4 p.55 ~ p.59
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A case of cholangitis misdiagnosed as acute hepatitis
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Kim Mi-Hee
Kim Eun-Jung
Kang Jin-Gu
Lee Ji-Un
Yang Bo-Kyung
Kim Hyoung-Su
Lee Jin-Heon
Kim Joo-Seop
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Abstract
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Choledocholithiasis usually reveals cholestatic features in liver function test. Alkaline phosphatase(ALP) and gamma glutamyl transferase(γ-GTP) level usually elevates out of portion to aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in bile duct obstruction. However, marked elevation of AST and ALT levels over 1,000 IU/L with normal range of ALP has been rarely reported in patients with choledocholithiasis. This could be confused initially, as acute hepatitis due to viral, toxic or ischemic origins. We report a case of 48-year-old man with choledocholithiasis, misdiagnosed as acute hepatitis due to initial result of unusual liver function test.
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KEYWORD
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choledocoholithiasis, acute hepatitis, aminotransferase
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