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급성 A형 간염에 병발된 그레이브스병의 사례
A Case of Graves’ Disease Accompanied with Acute Hepatitis A Virus Infection
홍성은 ( Seong Eun Hong ) , 추진우 ( Jin Woo Choo ) , 임수경 ( Soo Kyung Lim ) , 이성진 ( Seong Jin Lee ) , 박지원 ( Ji Won Park ) , 김성은 ( Sung Eun Kim ) , 김종혁 ( Jong Hyeok Kim ) , 박충기 ( Choong Kee Park )
UCI I410-ECN-0102-2018-500-004130190

Concurrent presentation of acute hepatitis A virus (HAV) infection and Graves’ disease has not been reported in literature worldwide. Although there is no well-established mechanism that explains the induction of Graves’ disease by HAV to date, our case suggests that HAV infection may be responsible for inducing Graves’ disease. A healthy 27-year-old female presented fever, palpitation, and diarrhea, and she was subsequently diagnosed as acute HAV infection. Concurrently, she showed hyperthyroidism, and the diagnosis was made as Graves’ disease. She had never had symptoms that suggested hyperthyroidism, and previous thyroid function test was normal. Acute HAV infection was recovered by conservative management, however, thyroid dysfunction was maintained even after normalization of liver enzymes. Methimazole was used to treat Graves’ disease. We report a case of concurrent acute HAV infection and Graves’ disease in a patient without preexisting thyroid disease. This suggests that HAV infection may be a trigger for an autoimmune thyroid disease in susceptible individuals. (Korean J Gastroenterol 2018;71:354-358)

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[자료제공 : 네이버학술정보]
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