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急性B型病毒性肝炎的复发——丁型肝炎病毒的作用

Relapse of acute B viral hepatitis--role of delta agent.

作者信息

Govindarajan S, Valinluck B, Peters L

出版信息

Gut. 1986 Jan;27(1):19-22. doi: 10.1136/gut.27.1.19.

Abstract

Serologic markers for delta agent were evaluated in 39 patients with acute hepatitis B and clinical relapse within 30 days from the initial episode. Eighteen of the 39 patients (46%) had evidence of acute delta infection. Delta antigenaemia preceded the appearance of antibodies in seven of these 18 patients; delta antigenaemia occurred during the initial episode of illness and the appearance of the antibody coincided with the relapse. Eight of these patients developed severe relapse with fulminant course which resulted in two deaths. This study reveals that delta infection is one of the important causes of severe relapse in cases of acute B viral hepatitis.

摘要

对39例急性乙型肝炎且在初次发病后30天内出现临床复发的患者进行了丁型肝炎病毒血清学标志物评估。39例患者中有18例(46%)有急性丁型肝炎感染的证据。在这18例患者中的7例中,丁型肝炎抗原血症先于抗体出现;丁型肝炎抗原血症在疾病初期发作时出现,抗体出现与复发同时发生。其中8例患者病情严重复发,病程呈暴发性,导致2例死亡。本研究表明,丁型肝炎感染是急性B型病毒性肝炎病例严重复发的重要原因之一。

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