A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier.

  • Bae, Joong Ho; 
  • Sohn, Joo Hyun; 
  • Lee, Hye Soon; 
  • Park, Hye Sun; 
  • Hyun, Yil Sik; 
  • ... Eun, Chang Soo; 
  • 외 3명
Citations

SCOPUS

20

초록

Hepatitis B virus (HBV) may be reactivated after chemotherapy or immunosuppressive therapy, and therefore administration of antiviral agents before such treatment is recommended. Most reported cases of reactivation are associated with high doses of immunosuppressive agents or combination therapy. We present a case of a previously inactive HBV carrier with an acute severe flare-up during a long-term, very-low-dose (2.5 mg/day) steroid treatment for rheumatoid arthritis. We suggest that even a minimal dose of single-regimen oral steroid can cause reactivation of indolent, inactive HBV.

키워드

Hepatitis B virus; Liver failure; Steroids; Virus activation; antivirus agent; hepatitis B surface antigen; immunosuppressive agent; steroid; virus DNA; aged; article; blood; case report; computer assisted tomography; female; genetics; hepatitis B; Hepatitis B virus; human; rheumatoid arthritis; treatment outcome; virus activation; Aged, 80 and over; Antiviral Agents; Arthritis, Rheumatoid; DNA, Viral; Female; Hepatitis B; Hepatitis B Surface Antigens; Hepatitis B virus; Humans; Immunosuppressive Agents; Steroids; Tomography, X-Ray Computed; Treatment Outcome; Virus Activation
제목
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier.
저자
Bae, Joong Ho; Sohn, Joo Hyun; Lee, Hye Soon; Park, Hye Sun; Hyun, Yil Sik; Kim, Tae Yeob; Eun, Chang Soo; Jeon, Yong Cheol; Han, Dong Soo
DOI
10.3350/cmh.2012.18.2.225
발행일
2012-10
유형
Article
저널명
Clinical and Molecular Hepatology
권
18
호
2
페이지
225 ~ 228

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