Baenkler H W, Teuber J
Med Klin. 1977 Feb 18;72(7):258-60.
A 62-year old patient was hospitalized with fever, polyarthritis and exanthema. All bacteriological, virological and biochemical findings were normal. The immunological analysis showed initially the HBs-antigen in the serum. No irregular antibody was found. Chemotherapy was failing, but application of corticosteroids was followed by a dramatic improvement. Nine weeks after the onset of the disease the patient was healthy again. Antibodies against HBs-antigen were found 3 months later. The data suggest an immune-complex disease like serum sickness based on an infection with hepatitis-B-virus without involvement of the liver.
一名62岁患者因发热、多关节炎和皮疹入院。所有细菌学、病毒学和生化检查结果均正常。免疫分析最初在血清中发现乙肝表面抗原（HBs抗原）。未发现不规则抗体。化疗无效，但应用皮质类固醇后病情显著改善。发病九周后患者恢复健康。三个月后发现了针对HBs抗原的抗体。这些数据提示这是一种基于乙型肝炎病毒感染且无肝脏受累的免疫复合物疾病，类似血清病。
