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

Case Report for Severe Hepatitis A Treated in a Korean Hospital

Case Report for Severe Hepatitis A Treated in a Korean Hospital

대한한의학회지 / 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
Sul-Ki Kim (Liver and Immunology Research Center, Dunsan Oriental Hospital of Daejeon Univ.)
Cheon-Hoo Jeon (Department of Internal Medicine, Dunsan Oriental Hospital of Daejeon Univ.)
Nam-Heon Lee (Liver and Immunology Research Center, Cheonan Oriental Hospital of Daejeon Univ.)
Jung-Hyo Cho (Liver and Immunology Research Center, Dunsan Oriental Hospital of Daejeon Univ.)
Chang-Gue Soh (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


투고일Submission Date
2019-12-16
수정일Revised Date
2020-01-22
게재확정일Accepted Date
2020-01-28
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