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KMID : 0882420110800010087
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Korean Journal of Medicine
2011 Volume.80 No. 1 p.87 ~ p.91
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Pathological Findings of a Renal Biopsy Showing Chronic Hepatitis B in A Patient with Acute Hepatitis A
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Jeong Jae-Jin
Kim Goeng-Bae
Park Sul
Yoon Hyung-Sik
Suh Kwang-Sun
Lee Gye-Sung
Kang Hyoun-Mo
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Abstract
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Hepatitis A is usually a self-limited liver disease that is treated conservatively. Acute renal injury complicating acute hepatitis A in the absence of fulminant hepatic failure is rare. We experienced a 33-year-old man who was healthy, and did not know that he was a hepatitis B virus (HBV)carrier with non-fulminant hepatitis A. He developed an acute kidney injury that necessitated dialysis therapy and a renal biopsy. He recovered within about 1 month. Pathologically, the renal biopsy showed acute tubular necrosis. It also showed IgA nephropathy and mesangium proliferation with glomerular nephritis, which are seen in chronic viral hepatitis B. We describe the association of acute hepatitis A with acute kidney injury and report the pathological findings of a renal biopsy related to chronic hepatitis B in an acute hepatitis A patient discovered by chance.
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KEYWORD
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Hepatitis A, Acute kidney injury, Chronic hepatitis B
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