The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(1):109-112.
B형간염보균자에서 발생한 A형간염에 의한 전격간부전 1예
조성범, 이완식, 주영은, 최성규
A case of fulminant hepatic failure complicating hepatitis A virus superinfection in a hepatitis B virus carrier
Sung-Bum Cho, Wan-Sik Lee, Young-Eun Joo, Sung-Kyu Choi


Abstract
Hepatitis A virus (HAV) is invariably a self-limited infection, with the majority of patients recovering completely. Underlying chronic liver disease and old age are associated with increased severity and an increased risk of fulminant hepatic failure. We report a case of fulminant hepatic failure caused by HAV superinfection in a 36-year-old male hepatitis B carrier. Recently, the incidence of acute hepatitis A in Korean adults has been increasing. Furthermore, Korea is an endemic area for chronic liver disease, including hepatitis B and C. Therefore, the risk of progression to acute fulminant hepatic failure should be considered for hepatitis A patients with impaired liver function, especially with underlying chronic liver disease. (Korean J Med 77:109- 112, 2009)

Keywords :Hepatitis A, Hepatitis B, Liver failure
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