The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;74(5):551-555.
증례 : 비전격성 급성 A형 간염에 합병된 급성 신부전증의 1예
석효선, 이용수, 정원길, 김 석, 김 향, 김병익, 박문향
A case of acute renal failure associated with non-fulminant acute hepatitis A
Hyo Sun Seok, Yong Su Lee, Won Gil Chung, Seok Kim, Hyang Kim, Byung Ik Kim, Moon Hyang Park
경희대학교 의과대학 순환기내과학교실


Abstract
Acute hepatitis A is generally a mild, self-limiting disease of the liver. Acute renal failure is extremely rare in patients with acute non-fulminant hepatitis A. Acute tubular necrosis is the most common form of renal injury found in such patients. The 27 years old male patient visited our hospital with complaint of fatigue, nausea and vomiting. He was diagnosed with acute renal failure associated with acute non-fulminant hepatitis A. The renal biopsy demonstrates tubulointerstitial nephritis with focal tubular necrosis on light microscopy. We report here on a case of acute renal failure associated with non-fulminant hepatitis A, and we include a review of the literature.

Keywords :Acute hepatitis A, Acute renal failure, Tubulointerstitial nephritis
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