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Journal of Tropical Pediatrics 2004 50(4):241-244; doi:10.1093/tropej/50.4.241
© 2004 by Oxford University Press
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Case Reports

Thrombocytopenia in Hepatitis A—An Atypical Presentation

Rathika ShenoyA1,, Sajitha NairA1 and Nutan KamathA1

A1 Department of Pediatrics, Kasturba Medical College, Mangalore, India

Acute hepatitis due to hepatitis A virus (HAV) is usually a benign self-limiting disease during childhood. Autoimmune manifestations are rare with acute HAV, especially in children. We report an 8-year-old boy with severe thrombocytopenia as an initial manifestation of acute HAV infection. Bone marrow examination suggested peripheral destruction of platelets. His clinical course was complicated by persistent severe thrombocytopenia and progressive cholestasis requiring prednisolone therapy.

* Correspondence: Dr Rathika D. Shenoy, Assistant Professor, Department of Pediatrics, K.M.C. Hospital, Attavar, Mangalore-575001, Karnataka, India. E-mail <drshenoy2001{at}hotmail.com>


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