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KMID : 1040420150190010039
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Childhood Kidney Diseases
2015 Volume.19 No. 1 p.39 ~ p.42
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Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Schonlein Purpura
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Kim Hee-Jin
Jung Su-Jin
Lee Jun-Ho
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Abstract
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Henoch-Schonlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Schonlein purpura caused by a primary Epstein-Barr virus infection has been rarely reported. Here, we report the case of a 32-month-old female patient who presented with Henoch-Schonlein purpura. Based on abnormal liver function test results and positive results for Epstein-Barr virus infection markers, a diagnosis of Epstein-Barr virus hepatitis
manifesting as Henoch-Schonlein purpura was made. Treatment with methylprednisolone and hydration improved the symptoms, and a switch to oral steroids was effective in completely alleviating the purpura. No recurrence was noted and
no liver function abnormalities were detected during the follow up period.
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KEYWORD
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Henoch-Schonlein purpura, Arthritis, Epstein-Barr virus, Hepatitis, Pathogenesis
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