Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Schonlein Purpura.
10.3339/chikd.2015.19.1.39
- Author:
Hee Jin KIM
1
;
Su Jin JUNG
;
Jun Ho LEE
Author Information
1. Departments of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. naesusana@gmail.com, jinped@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Henoch-Schonlein purpura;
Arthritis;
Epstein-Barr virus;
Hepatitis;
Pathogenesis
- MeSH:
Arthritis;
Child, Preschool;
Diagnosis;
Female;
Follow-Up Studies;
Hepatitis*;
Herpesvirus 4, Human*;
Humans;
Liver;
Liver Function Tests;
Methylprednisolone;
Purpura;
Purpura, Schoenlein-Henoch*;
Recurrence;
Steroids
- From:Childhood Kidney Diseases
2015;19(1):39-42
- CountryRepublic of Korea
- Language:English
-
Abstract:
Henoch-Schonlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Schonlein 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-Schonlein 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-Schonlein purpura was made. Treatment with methylprednisolone 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.
