DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 50

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PANAHI M.

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Journal Paper

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Journal: Medical Journal of Mashhad University of Medical Sciences Year:2004 | Volume:47 | Issue:85 Page(s): 343-344

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Title

DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 50

Author(s)

PANAHI M. | Issue Writer Certificate

Keywords

AUTOIMMUNE HEPATITISQ4

JAUNDICEQ4

HYPER GAMMAGLOBULINEMIAQ4

Abstract

Metabolic and genetic hepatitis may be manifested initially as acute hepatitis and wilson disease is more likely to present with chronic liver disease or a neuropsychiatric disorder and a normal urinary copper excretion effectively rules out the diagnosis of acute hepato - lentricular degeneration. In fulminant hepatitis B in less than 5% in the beginning of disease. HBsAg marker may be negative but other HBV infection markers will be positive. Herbalism in Iran especially in liver diseases is a common problem of physicians and swallow of alive, river fishes is an ancient behaviour in managing icteric patients. Fortunately the patient had done none of them. A serum protein electerophoresis performed and revealed high gamma globulin. In a yaung female patient with paranchymal hepatitis and hypergammaglobulinemia with negative viral markers for hepatitis and normal urinary copper excretion, autoimmune liver disorders will be in suspicion. These disorders are chronic but occasionally have no overt manifestation, until an overlap syndrome develops that is indistinguishable from acute hepatitis. The most common of these disorders, is type I AUTOIMMUNE HEPATITIS, it is more common in females than in males and its peak incidence is in young peoples. This form of AUTOIMMUNE HEPATITIS characterized by hypergammaglobulinemia and a positive test for antinuclear antibodies or antismooth muscle antibodies or both of them. Type II. Characterized by presence of anti-liver-kidney-microsmal antibody and in type III AUTOIMMUNE HEPATITIS, antibodies to soluble liver antigen is positive. Type IV AUTOIMMUNE HEPATITIS is a-seronegative AUTOIMMUNE HEPATITIS and only in liver biopsy diagnosis confirms. In this patient both of antinuclear antibodies and anti-smooth muscle antibodies were positive. Because of bleeding processes with unresponsiveness to vit k and FFP; liver biopsy did not perform and prednisolone plus Imuran started, JAUNDICE and fever disappeared there after, and prothrombine time (pt) became normal.

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APA: Copy

PANAHI, M.. (2004). DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 50. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, 47(85), 343-344. SID. https://sid.ir/paper/51432/en

Vancouver: Copy

PANAHI M.. DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 50. MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2004;47(85):343-344. Available from: https://sid.ir/paper/51432/en

IEEE: Copy

M. PANAHI, “DENOUEMENT YOUR DIAGNOSIS PLEASE, CONTINUED FROM PAGE 50,” MEDICAL JOURNAL OF MASHHAD UNIVERSITY OF MEDICAL SCIENCES, vol. 47, no. 85, pp. 343–344, 2004, [Online]. Available: https://sid.ir/paper/51432/en

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