ID | 16257 |
Eprint ID | 16257
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FullText URL | |
Title Alternative | Clinical studies on sporadic hepatitis A: features, course and prognosis
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Author |
Fukuda, Tetsuya
Yamada, Gotaro
Ogawa, Hiromichi
Okushin, Hiroaki
Hyodo, Ichinosuke
Nishihara, Takashi
Mizuno, Motowo
Sakamoto, Yuji
Nagashima, Hideo
Kobayashi, Toshinari
Yoshida, Tomoro
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Abstract | Clinical and laboratory features of 66 patients with sporadic hepatitis A were evaluated from October 1978 to July 1981. Jaundice was reported in 88.6% of the patients, and the frequency of skin rash was 15.7%. Less than 5% atypical lymphocytes were noted in 29.5% of the patients. Proteinuria and hematuria were present in 23.4% and 6.3% of the patients. However, immune complexes were not detected in their sera. One of the patients who had hematuria developed acute renal failure. About 10% of the patients transiently showed both low levels of cholinesterase and cholesterol and prolongation of the prothrombin time. There was no patient with fulminant hepatic failure. Liver function tests returned to normal except for 3 patients within 3 months. For 10 months after the onset, slight elevation of SGPT peristed in the patient with acute renal failure and also in a patients with a previous history of liver disease. One of two patients with acute intrahepatic cholestasis showed protraction of mild hyperbilirubinemia more than 6 months after the onset of acute illness.
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Keywords | 散発性A型肝炎
免疫複合体
重症化
遷延化
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Published Date | 1984-04-30
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Publication Title |
岡山医学会雑誌
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Publication Title Alternative | Journal of Okayama Medical Association
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Volume | volume96
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Issue | issue3-4
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Publisher | 岡山医学会
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Publisher Alternative | Okayama Medical Association
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Start Page | 305
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End Page | 312
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ISSN | 0030-1558
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NCID | AN00032489
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Content Type |
Journal Article
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Official Url | https://www.jstage.jst.go.jp/article/joma1947/96/3-4/96_3-4_305/_article/-char/ja/
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Related Url | http://www.okayama-u.ac.jp/user/oma/index.html
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language |
Japanese
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Copyright Holders | 岡山医学会
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File Version | publisher
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Refereed |
True
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Eprints Journal Name | joma
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