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引用次数: 0
摘要
接受化疗的急性肝炎患者一直具有挑战性。揭开真相对继续化疗至关重要。我们报告一例颊粘膜癌患者在单剂量顺铂和放疗后发生急性肝炎。在有慢性酒精中毒史且戒酒超过3个月的背景下，不太可能出现急性酒精性肝炎。尽管他患有隐匿性乙型肝炎，HBsAg阴性，IgG抗-HBc抗体阳性，但由于HBV DNA PCR定量检测不到，乙型肝炎不太可能是急性肝炎的原因。由于包括非典型病毒和自身免疫检查在内的所有病毒标志物都是阴性的，寻找确切原因是一项实时挑战。如何引用这篇文章：Gupta T.免疫抑制患者的急性肝炎：一个困境。Euroasian J Hepato-Gastroenterol 2023；13（1）：26-27。
Acute Hepatitis in an Immunosuppressed Patient: A Dilemma.
Acute hepatitis in patients on chemotherapy has always been challenging. Demystifying the truth becomes essential to continue chemotherapy. Wepresent a case of carcinoma buccal mucosa who developed acute hepatitis following a single dose of cisplatin and radiotherapy. In the background of a history of chronic alcoholism, and alcohol abstinence of more than 3 months, acute alcoholic hepatitis was unlikely. Though he had occult hepatitis B with HBsAg negative and positive IgG anti-HBc antibody status, however, with undetectable HBV DNA PCR quantitative, hepatitis B was unlikely to be the cause of acute hepatitis. With all viral markers including atypical viruses and autoimmune work-up being negative, it was a real-time challenge to find the exact cause.
How to cite this article: Gupta T. Acute Hepatitis in an Immunosuppressed Patient: A Dilemma. Euroasian J Hepato-Gastroenterol 2023;13(1):26-27.
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