Findor J A, Lafage M, Bruch Igartua E M, Domecq P, Firpo A M, Domecq R B
Acta Gastroenterol Latinoam. 1980;10(3):223-30.
Thirty-one patients HBs Ag negative seen between january 1978 and june 1980 were studied. Twenty-four of them were males and seven females. Their age ranged between 13 and 58 years. All of them were anti-HAV IgM negative. Six patients presented simultaneously Anti HBc and Anti HBs in the two first weeks of the illness. This fact could be imputed to an acquired immunity due to a previous infection with virus B. None of the patients studied had evidence of infectious mononucleosis or cytomegalovirus. In view of the absence of the markers of recent infection due to virus A and B these patients were considered to have a non A non B hepatitis. Twelve patients had evidence of previous hepatitis, thirteen had acquired the infection by parenteral route; four were post-transfusional and in six cases there was an epidemic medium. Forty-five percent of the patients studied had a biphasic elevation of the aminotransferases, and twenty percent had a cholestatic form. Two of the patients turned into a chronic active hepatitis and another one died of submasive necrosis; in both cases the via of infection was parenteral.
对1978年1月至1980年6月期间收治的31例HBs Ag阴性患者进行了研究。其中男性24例,女性7例。年龄在13至58岁之间。所有患者抗-HAV IgM均为阴性。6例患者在发病的前两周同时出现抗-HBc和抗-HBs。这一现象可能归因于既往感染过B型病毒而获得的免疫力。所有研究患者均无传染性单核细胞增多症或巨细胞病毒感染的证据。鉴于缺乏甲型和乙型病毒近期感染的标志物,这些患者被诊断为非甲非乙型肝炎。12例患者有既往肝炎病史,13例通过非肠道途径感染;4例为输血后感染,6例有群体感染背景。45%的研究患者转氨酶呈双相升高,20%为胆汁淤积型。2例患者转为慢性活动性肝炎,1例死于亚大块坏死;这两例患者均为非肠道感染途径。