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作 者:王忠成[1] 顾尔莉[1] Wang Zhongcheng;Gu Erli(Department of Hepatology,Nantong Third Affiliated Hospital,Nantong University,Nan Tong 226006,Jiangsu Province,China)
机构地区:[1]南通大学附属南通第三医院肝病科,江苏南通226006
出 处:《中国肝脏病杂志(电子版)》2023年第1期69-72,共4页Chinese Journal of Liver Diseases:Electronic Version
基 金:国家自然科学基金(81601842);南通市卫生健康委员会面上课题(MB2020038)。
摘 要:EB病毒感染具有很高的流行率,多数呈隐匿性,与淋巴瘤、鼻咽癌等多种疾病的发生有关。在肝脏方面常引起一过性转氨酶升高,出现显著黄疸及肝内胆汁淤积较少见,极少发生肝功能衰竭,现报道1例无明显发热、皮疹、淋巴结肿大等系统性表现,但以肝内胆汁淤积为主要表现的由EB病毒感染引起的肝炎病例,期望提高肝病科医师在对胆汁淤积性肝炎病因的探究中对EB病毒感染的重视,做到早诊断、早治疗。EB virus infection has a high prevalence,most of which are occult infections,which are related to lymphoma,nasopharyngeal cancer and other diseases.Among hepatitis caused by EB virus,transient transaminase elevation is common,significant jaundice and intrahepatic cholestasis is relatively rare,and liver failure is rare.Now we reported a case of hepatitis caused by EB virus infection without obvious fever,rash,lymphadenopathy,but intrahepatic cholestasis.It is expected that hepatologists should pay more attention to EB virus infection in the study of the etiology of cholestatic hepatitis and strive for early diagnosis and treatment.
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