Grand Rounds

s it Chronic Hepatitis A infection?


Lavina Desai*, Ira Shah**
* Seth G S Medical College, Mumbai, India and **Pediatric Infectious Diseases and Pediatric Hepatology, Levioza Health Care, Mumbai, India.

Address for Correspondence: Lavina Desai, Seth G S Medical College, India. Email: lavinadesai16@gmail.com


Clinical Problem:
A 5 year old boy presented in August 2015 with jaundice and decreased appetite for 2 months. He had been investigated by his pediatrician and found to have hepatitis. In view of non-improvement, he was referred to us for further management. On examination, he had hepatomegaly. Other systems were normal. Ultrasonography (USG) abdomen revealed hepatomegaly with normal echotexture of the liver. His serial liver function tests are depicted in Table 1. HbsAg, Hepatitis C antibody, Hepatitis A IgM, Hepatitis E IgM, ANA, anti-smooth muscle antibody, anti-liver kidney microsomal antibody were negative. Serum ceruloplasmin levels were normal. He tested positive for hepatitis A IgG antibody in August 2015.

Can this be chronic hepatitis A infection?


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