간이식 후 재발한 바이러스간염 -4예 보고-
Recurrent Viral Hepatitis Following Liver Transplantation -Report of 4 Cases-
장선희, 민광선, 정재걸, 윤길숙, 이승규, 이영상, 유은실,
소속 상세정보
장선희 ( Chang Sun-Hee )
부천세종병원 해부병리과
민광선 ( Min Kwang-Seon )
울산대학교 의과대학 서울중앙병원 진단병리학교실
정재걸 ( Jung Jae-Gul )
울산대학교 의과대학 서울중앙병원 진단병리학교실
윤길숙 ( Yun Kil-Suk )
울산대학교 의과대학 서울중앙병원 진단병리학교실
이승규 ( Lee Sung-Gyu )
울산대학교 의과대학 서울중앙병원 일반외과
이영상 ( Lee Yung-Sang )
울산대학교 의과대학 서울중앙병원 내과학교실
유은실 ( Yu Eun-Sil )
울산대학교 의과대학 서울중앙병원 진단병리학교실
KMID : 0357920020360020122
Abstract
The recurrence of viral hepatitis B or C after liver transplantation is almost universal but their clinical courses and outcomes are vary widely. We investigated four cases of rapidly progressive and fatal recurrent viral hepatitis following liver transplantation, which were rapidly progressive and fatal. Case 1 was a 58-year-old male, who developed recurrent viral hepatitis C. Cases 2, 3, and 4 were a 59-year-old female, an 42-year-old male, and a 50-year-old male, respectively, who developed recurrent viral hepatitis B. In cases 1 and 2, the histopatholgical features of the first liver biopsies were prominent ballooning degeneration of the hepatocytes but later biopsies revealed signifiant lobular activity. Case 3 began with a marked fatty change and mild lobular and proto-periportal activity. Case 3 began with a marked fatty change and mild lobular and porto-periportal activity and progressed to severe lobular activity and septal fibrosis. In case 4, the first liver biopsy revealed minimal lobular activity but the second biopsy revealed severe lobular activity.
키워드
Hepatitis B;Hepatitis C;Liver Transplantation
원문 및 링크아웃 정보
등재저널 정보