Child Kidney Dis.
2015 Apr;19(1):39-42. 10.3339/chikd.2015.19.1.39.
Acute Epstein-Barr Virus Hepatitis in a 32 Month Old Female Manifesting as Henoch-Schonlein Purpura
- Affiliations
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- 1Departments of Pediatrics, CHA Bundang Medical Center, CHA University, Seongnam, Korea. naesusana@gmail.com, jinped@cha.ac.kr
- KMID: 2134412
- DOI: http://doi.org/10.3339/chikd.2015.19.1.39
Abstract
- Henoch-Schonlein purpura can result from exposure to an antigen after infection with several types of organisms. However, Henoch-Schonlein purpura caused by a primary Epstein-Barr virus infection has been rarely reported. Here, we report the case of a 32-month-old female patient who presented with Henoch-Schonlein purpura. Based on abnormal liver function test results and positive results for Epstein-Barr virus infection markers, a diagnosis of Epstein-Barr virus hepatitis manifesting as Henoch-Schonlein purpura was made. Treatment with methylprednisolone and hydration improved the symptoms, and a switch to oral steroids was effective in completely alleviating the purpura. No recurrence was noted and no liver function abnormalities were detected during the follow up period.
