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Q J Med 2003; 96: 868-869
© 2003 Association of Physicians

Correspondence

Acute pancreatitis and exacerbation of hepatitis B following reduced dose of prednisolone

The first 10% of the full text of this article appears below.

Sir,

Hepatitis virus type B (HBV) infects the pancreas1,2 and may cause acute pancreatitis.1–5 Immunosuppressive therapy results in enhanced replication of HBV and depressed host immunity. The discontinuation of therapy causes a rebound of the immune system, resulting in development of hepatitis. Here, we report a patient with underlying HBV infection, who had acute/non-fluminant hepatitis with acute pancreatitis after a decrease in dose of an immunosuppressive agent.

A 48-year-old Japanese male HBV . . . [Full Text of this Article]

Y. Ohshiro, M. Tawata and N. Takasu

Second Department of Internal Medicine University of the Ryukyus Okinawa Japan. e-mail: ooshiro@aol.com


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