Michitaka Kojiro, Horiike Norio, Chen Yan, Duong Tran Nhu, Konishi Ichiro, Mashiba Toshie, Tokumoto Yoshio, Hiasa Yoichi, Tanaka Yasuhito, Mizokami Masashi, Onji Morikazu
Endoscopy Center, Ehime University School of Medicine, Shigenobucho, Onsen-gun, Ehime 791-0295.
Intern Med. 2004 Aug;43(8):696-9. doi: 10.2169/internalmedicine.43.696.
A 12-year-old girl with Gianotti-Crosti syndrome caused by hepatitis B virus (HBV) infection was admitted due to eruption on her extremities. Laboratory findings revealed elevation of transaminase, positivity for HB surface antigen (HBsAg), and an IgM type anti-HB core. The eruption and level of transaminase improved, and HBsAg became negative within 2 months of onset. Analysis of the virus revealed it to be genotype D with a genomic length of 3,182 bases and the HBsAg serotype was ayw3, which is very rare in Japan. The possible relationship between Gianotti-Crosti syndrome and HBV genotype D infection is discussed.