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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

Case Report for Severe Hepatitis A Treated in a Korean Hospital

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2020, v.41 no.4, pp.100-105
https://doi.org/10.13048/JKOM.PUB.41.4.100
Kim Sul-Ki (Liver and Immunology Research Center, Dunsan Oriental Hospital of Daejeon Univ.)
Jeon Cheon-Hoo (Department of Internal Medicine, Dunsan Oriental Hospital of Daejeon Univ.)
Lee Nam-Heon (Liver and Immunology Research Center, Cheonan Oriental Hospital of Daejeon Univ.)
Cho Jung-Hyo (Liver and Immunology Research Center, Dunsan Oriental Hospital of Daejeon Univ.)
Soh Chang-Gue (Liver and Immunology Research Center, Dunsan Oriental Hospital of Daejeon Univ.)
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Abstract

A 25-year-old male presented with influenza-like symptoms and took Western anti-inflammatory analgesic drugs for 2 days. The symptoms aggravated, so the patient decided to rely on Korean medicine (KM). Based on the highly elevated hepatic enzymes (AST 4,621 IU/L and ALT 2,763 IU/L) with a positive result of anti-HAV IgM, he was diagnosed with hepatitis A. The patient was hospitalized and given herbal drugs (Chunggan-plus extract, Innae-Tang) and acupuncture, according to symptom differentiation, the accumulation of damp heat (濕熱蘊結)”. The subjective symptoms (fatigue, nausea, gastric discomfort) including jaundice and dark urine as well as laboratory abnormalities gradually improved gradually in 10 hospital days, and the patient completely recovered in 25 days as an out-patient. This case presents a classic case of severe hepatitis A in 2019 Korean outbreak, and is informative to physicians for diagnosis and treatment in the traditional Korean medicine field.

keywords
epatitis A, HAV, Traditional Korean medicine


Submission Date
2019-12-16
Revised Date
2020-01-22
Accepted Date
2020-01-28
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