Generalized Pruritus Secondary to Acute Hepatitis A: A Case Report

Abstract

Hepatitis A is an acute infectious disease of the liver caused by the hepatitis A virus. Many cases have little or no symptoms. In our case, a nineteen year old female patient referred our hospital because of exhaustion, jaundice and diffuse itching complaints which existed for one week. In dermatological examination, there were diffusely erythematous, excoriated papules with crusts on the body as more significant on the lower extremity. The patient was diagnosed with acute viral hepatitis A and generalized pruritus according to present findings. Cholestyramine 16 g/day and acrivastine tablet as 1x1 were started to administrate for hyperbilirubinemia and itching. The patient whose complaints regressed partially at the eighth day of the treatment was discharged by her own will. Consequently, patients with generalized pruritus who do not have any previous primary cutaneous disorders could be tested for HAV infection. J Microbiol Infect Dis 2015;5(4): 184-186

Key words: Pruritus, Hepatitis A, Skin manifestation

Keywords

• -

Kaynakça

1. Tekin R, Yolbas I, Dal T, et al. Evaluation of Adults with Acute
2. Viral Hepatitis A and Review of the Literature. Clin Ter 2013;164:537-541.
3. Jeong SH, Lee HS. Hepatitis A: clinical manifestations and
4. management. Intervirology 2010;53:15-19.
5. Baykal C. Atlas of Dermatology. 3. ed. Nobel Tıp Kitabevi, Istanbul.
6. p: 468-469,2012.
7. James WD, Berger TG, Elston DM. Pruritus and Neurocutaneous
8. Dermatoses. Andrew’s Diseases of The Skin:Clinical Dermatology. Eleventh ed, 2011: chapter 4;45-61.

9. Kumar KJ, Kumar HCK, Manjunath VG, Anitha C, Mamatha
10. S. Hepatitis A in children clinical course, complications and laboratory profile. Indian J Pediatr 2014;81:15-19.
11. Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology. 3nd ed. Elsevier
12. Mancini AJ, Shaniadir A: Other viral diseases. 1345-1365.
13. Altınkaynak S. Association of Henoch-Schonlein purpura and
14. hepatitis A. The journal of emergency medicine 2006;30:219-221.