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©2007 Baishideng Publishing Group Inc.
World J Gastroenterol. Nov 21, 2007; 13(43): 5741-5744
Published online Nov 21, 2007. doi: 10.3748/wjg.v13.i43.5741
Published online Nov 21, 2007. doi: 10.3748/wjg.v13.i43.5741
Table 1 Clinical and laboratory characteristics of 124 patients of acute viral hepatitis
| Acute viral hepatitis A (n = 16) | Acute viral hepatitis B (n = 54) | Acute viral hepatitis E (n = 54) | |
| Male: Female | 13:3 | 42:12 | 39:15 |
| Age (yr)1 | 18.3 (8-35) | 36 (20-74) | 33.6 (17-62) |
| Clinical features | |||
| Jaundice | 15 (93.8) | 54 (100) | 54 (100) |
| Prodromal symptoms | 16 (100) | 54 (100) | 54 (100) |
| Pain abdomen | 4 (25) | 8 (14.8) | 12 (22.2) |
| Pruritis | 4 (25) | 9 (16.6) | 19 (35.2) |
| Hepatomegaly (%) | 6 (37.5) | 16 (29.6) | 21 (38.9) |
| Splenomegaly (%) | 2 (12.5) | 6 (11.1) | 5 (9.2) |
| Hemoglobin (gm/dL)1 | 12.3 (9.6-14.5) | 12.4 (9-15.1) | 12.6 (9-14.7) |
| Platelets (× 105/mm3)1 | 2.5 (1.8-3.2) | 1.8 (1.2-2.5) | 1.6 (1-3.4) |
| Total leucocyte count (× 1000/mm3)1 | 7.9 (6.4-10.5) | 8.4 (5-10.1) | 7.2 (6-10.6) |
| Bilirubin (mg/dL)1 | 9.4 (0.67-35.8) | 12.4 (3-36.5) | 10.7 (3.3-26.3) |
| AST (IU/L)1 | 1969 (60-7715) | 824 (223-3600) | 1621.1 (240-3684) |
| ALT (IU/L)1 | 2134.3 (56-5165) | 1024 (489-4900) | 1830.6 (240-5549) |
| Serum alkaline phosphatase (IU/L)1 | 521.9 (196-1426) | 424.5 (110-860) | 324 (114-647) |
| Protein/Albumin (gm/dL)1 | 7.2 (6.5-7.8)/4.0 (3.5-4.6) | 7 (6-8)/3.9 (3.4-4.8) | 6.5 (5.5-8)/3.8 (3.4-4.6) |
| Prothrombin time prolongation1 | 4 (2-14) | 5.5 (1-11) | 6 (3-18) |
| Ultrasonography of the abdomen | |||
| Thickened gallbladder | 14 (87.5) | 38 (70.4) | 44 (81.5) |
| Hypoechoic liver | 8 (50) | 24 (44.6) | 26 (48.1) |
| Gallbladder sludge | 2 (12.5) | 2 (3.7) | 3 (5.5) |
| Ascites | 1 (6.25) | 3 (5.5) | 26 (48.1) |
| Bulky pancreas | 2 (12.5) | 1 (1.8) | 4 (7.4) |
Table 2 Clinical Profile of viral hepatitis patients with acute pancreatitis
| Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7 | |
| Age (yr) | 11 | 30 | 32 | 21 | 30 | 20 | 23 |
| Gender | M | M | M | M | M | M | M |
| Pain interval after onset of jaundice (d) | 30 | 28 | 3 | 2 | 5 | 6 | 5 |
| Pain duration (h) | 96 | 72 | 120 | 96 | 24 | 48 | 72 |
| Hepatomegaly (cm; subcostal) | 5 | 2 | 2 | 3 | 3 | 2 | 3 |
| Etiology | Hepatitis A | Hepatitis B | Hepatitis E | Hepatitis E | Hepatitis E | Hepatitis A | Hepatitis E |
| Recovery from | 8 | 6 | 12 | 6 | 3 | 6 | 4 |
| pancreatitis (d) | |||||||
| Recovery from hepatitis (wk) | 8 | 6 | 12 | 8 | 8 | 12 | 10 |
Table 3 Laboratory profile of viral hepatitis patients with acute pancreatitis
| Parameter | Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | Case 6 | Case 7 |
| Bilirubin (mg/dL) | 32.4 | 21.3 | 14.6 | 11.8 | 5.8 | 13.1 | 15.8 |
| AST (IU /L) | 682 | 1210 | 1313 | 182 | 388 | 1223 | 765 |
| ALT (IU/L) | 895 | 702 | 2238 | 702 | 412 | 2438 | 814 |
| Alkaline phosphates (IU/L) | 560 | 300 | 607 | 420 | 531 | 503 | 231 |
| Albumin (mg/dL) | 3.8 | 4 | 3.5 | 3.8 | 3.5 | 3.9 | 3.5 |
| Prothrombin time prolongation (s) | 14 | 11 | 12 | 9 | 11 | 10 | 18 |
| Amylase (IU/L) | 475 | 460 | 275 | 278 | 462 | 319 | 596 |
| Lipase (IU/L) | 7258 | 520 | 3297 | 990 | 760 | 2926 | 2060 |
| Corrected Serum calcium (mg/dL) | 9.2 | 9.1 | 9 | 8.9 | 9.2 | 9.3 | 8.1 |
| Serum triglyceride (mg/dL) | 140 | 168 | 131 | 165 | 141 | 160 | 154 |
| Ultrasonography (Gallbladder) | Normal | Normal | Normal | Normal | Normal | Normal | Biliary sludge |
- Citation: Jain P, Nijhawan S, Rai RR, Nepalia S, Mathur A. Acute pancreatitis in acute viral hepatitis. World J Gastroenterol 2007; 13(43): 5741-5744
- URL: https://www.wjgnet.com/1007-9327/full/v13/i43/5741.htm
- DOI: https://dx.doi.org/10.3748/wjg.v13.i43.5741