Document Type : Case Report
Authors
1
MD, Medical Student, Students Research Committee, School of Medicine, AND Social Determinants of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
2
Professor of Infectious Disease, School of Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, Iran
10.48305/jims.v43.i838.1497
Abstract
Background: Hepatitis is the most common acute viral hepatitis worldwide, and it is often a benign disease, but it is rare in cases with uncommon clinical forms such as recurrent hepatitis, long-term hepatitis, and hepatitis cholestasis. The type of cholestasis is characterized by itching, jaundice, increased serum bilirubin and alkaline phosphatase.
Case Report: A 23-year-old female patient with no history of any specific disease complained of severe itching with fever, chills, nausea, vomiting, brown urine and dark yellowish skin discoloration; The patient's itching was generalized without petechiae and purpura, which was referred to an infectious specialist with the initial diagnosis of jaundice. According to the results obtained from the history and paraclinic, the infectious specialist diagnoses hepatitis A disease for the patient and prescribes a ten-day treatment period with the drugs Ursodeoxycholic acid and Prednisolone along with complete rest and adherence to the diet (not consuming red food and spices) starts.
Findings: The maximum level of total bilirubin was 9mg/dl during three months of the disease period, after that, the bilirubin levels gradually started to decrease and after about 2 months, the levels reached the normal level. A similar trend was observed for SGOT and SGPT.
Conclusion: This study shows that despite the rarity of cholestasis caused by hepatitis, cholestasis should be considered in patients with hepatitis A, and hepatitis A should also be considered among the differential diagnoses of cholestatic jaundice patients.
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