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- W1995953318 abstract "Letters15 September 1998Hepatitis A: A Potentially Serious DiseaseSachin Yende, MB, BS and Dan Lancaster, MDSachin Yende, MB, BSMethodist LeBonheur Healthcare; Memphis, TN 38104Search for more papers by this author and Dan Lancaster, MDMethodist LeBonheur Healthcare; Memphis, TN 38104Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-129-6-199809150-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read with interest Willner and colleagues' report [1] on the recent hepatitis A epidemic in Tennessee, particularly the incidence of autoimmune hepatitis associated with hepatitis A. We report an unusual association of hepatitis A and immune thrombocytopenic purpura (ITP) seen during the epidemic reported by the authors.An 18-year-old man presented with a 3-day history of abdominal pain, nausea, vomiting, subjective fever, and dark urine. He had been healthy and had no history of recent travel, tick exposure, or respiratory illness. He denied taking any medications and had no history of alcohol, tobacco, or drug abuse. ...References1. Willner IR, Uhl MD, Howard SC, Williams EQ, Riely CA, Waters B. Serious hepatitis A: an analysis of patients hospitalized during an urban epidemic in the United States. Ann Intern Med. 1998; 128:111-7. Google Scholar2. Kleinmann Y, Friedmann G. Transient autoimmune thrombocytopenia associated with acute infectious hepatitis. Hepatogastroenterology. 1982; 29:144-5. Google Scholar3. Macedo G, Cardoso T, Bernardo L, Fontes C. Purpura: an unusual presentation of HAV infection. J Clin Gastroenterol. 1994; 18:258-9. Google Scholar4. Ibarra H, Zapata C, Inostroza J, Mezzano S, Reidmann S. Immune thrombocytopenic purpura associated with hepatitis A. Blut. 1986; 52:371-5. Google Scholar5. Cohen O, Meavorach D, Ackerman Z, Oren R. Thrombocytopenic purpura as a manifestation of acute hepatitis A. J Clin Gastroenterol. 1993; 17:166-7. Google Scholar Author, Article, and Disclosure InformationAuthors: Sachin Yende, MB, BS; Dan Lancaster, MDAffiliations: Methodist LeBonheur Healthcare; Memphis, TN 38104 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 September 1998Volume 129, Issue 6Page: 506-507KeywordsAutoimmune hepatitisBilirubinBone marrowFeversHepatitis AMegakaryocytesPlateletsSerologySplenomegalyThorax ePublished: 15 August 2000 Issue Published: 15 September 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ..." @default.
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- W1995953318 title "Hepatitis A: A Potentially Serious Disease" @default.
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