[논문]Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Sch<tex>$\\ddot{o}$</tex>nlein Purpura

Kim, Hee Jin; Jung, Su Jin; Lee, Jun Ho

doi:10.3339/chikd.2015.19.1.39

Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Sch$\\ddot{o}$nlein Purpura 원문보기

Childhood kidney diseases, v.19 no.1, 2015년, pp.39 - 42

Kim, Hee Jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University) , Jung, Su Jin (Department of Pediatrics, CHA Bundang Medical Center, CHA University) , Lee, Jun Ho (Department of Pediatrics, CHA Bundang Medical Center, CHA University)

Abstract ▼ AI-Helper

Henoch-Sch$\ddot{o}$nlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Sch$\ddot{o}$nlein 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-Sch$\ddot{o}$nlein 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-Sch$\ddot{o}$nlein purpura was made. Treatment with methyl-prednisolone 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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A 32-month-old female was admitted to our hospital because of a 1-day history of fever, arthralgia, and swelling in both ankles for 1 day, and purpura on both legs and arms. She had passed grayish stools intermittently for a few days previously.

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Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Sch$\\ddot{o}$nlein Purpura 원문보기

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Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Sch$\\ddot{o}$nlein Purpura 원문보기

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