急性戊型肝炎伴甲胎蛋白升高1例并文献复习

Wei Liu, Yuan Lu, Shijue Zheng
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引用次数: 0

摘要

急性戊型肝炎(AHE)是由戊型肝炎病毒感染引起的一种急性自限性疾病,主要通过消化道传播。少数患者可导致严重的肝炎和肝功能衰竭。甲胎蛋白是原发性肝癌的敏感血清学标志物。胃肠道肿瘤、内胚层窦肿瘤和源自内胚层的生殖细胞癌患者AFP均有不同程度的升高。此外,血清AFP在非肿瘤性急慢性肝病中也可不同程度升高。我们报告1例急性戊型肝炎伴血清AFP升高的病例,并通过文献复习探讨急性戊型肝炎伴AFP升高的临床特点及意义。
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Acute Hepatitis E With Elevated Alpha Fetoprotein: A Case Report and Literature Review
Acute Hepatitis E (AHE) is an acute self-limiting disease caused by Hepatitis E virus infection, which is mostly transmitted through the digestive tract. A few patients can lead to severe hepatitis and liver failure. Alpha fetoprotein is a sensitive serological marker of primary liver cancer. AFP may increase in different degrees in patients with gastrointestinal tumors, endodermal sinus tumors and germ cell carcinoma originating from endoderm. In addition, serum AFP can also be elevated in varying degrees in non-neoplastic acute and chronic liver diseases. We here report a case of Acute Hepatitis E with elevated serum AFP, and discuss the clinical characteristics and significance of elevated AFP in Acute Hepatitis E through literature review.
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