Chronic HBV with pregnancy: Reactivation flare causing fulminant hepatic failure
Journal Title: Annals of Hepatology - Year 2011, Vol 10, Issue 2
Abstract
Chronic HBV infection is a dynamic state of interaction between HBV, hepatocytes, and the immune system of the host. A series of reactivation flares and remissions may occur due to multiple causes. Among them, spontaneous reactivation and immunosuppressive drugs including steroids or cancer chemotherapy are well known. This is due to immune-mediated destruction of HBV-expressing cells following withdrawal of immunosuppressive effect. Few cases have been reported in females during postpartum period. We report a case of fulminant hepatic failure during pregnancy in a previously unrecognized hepatitis B positive female requiring emergent liver transplantation.
Authors and Affiliations
Ashish Singhal, Rajesh Kanagala, Sajid Jalil, Harlan Wright, Vivek Kohli
Keywords
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