만성 C형간염에 관한 직접작용항바이러스 치료 후 호전된 난치성 간성 흉수
fractory Hepatic Hydrothorax in Chronic Hepatitis C Controlled by Direct-acting Antivirals
김명희, 김덕기, 은혁수, 류우선, 김석현, 이병석,
소속 상세정보
김명희 ( Kim Myung-Hee )
충남대학교병원 소화기내과
김덕기 ( Kim Duk-Ki )
충남대학교병원 소화기내과
은혁수 ( Eun Hyuk-Soo )
충남대학교병원 소화기내과
류우선 ( Rou Woo-Sun )
충남대학교병원 소화기내과
김석현 ( Kim Seok-Hyun )
충남대학교병원 소화기내과
이병석 ( Lee Byung-Seok )
충남대학교병원 소화기내과
Abstract
Hepatic hydrothorax is a transudative pleural effusion that complicates advanced liver cirrhosis. Patients refractory to medical treatment plus salt restriction and diuretics are considered to have refractory hepatic hydrothorax and may require transjugular intrahepatic portosystemic shunt (TIPS) or liver transplant. Successful antiviral therapy reduces the incidence of some complications of cirrhosis secondary to HCV infection. We report a case of hepatic hydrothorax in a 55-year-old female patient with HCV cirrhosis, which exhibited a spontaneous decrease in pleural effusion after direct antiviral agent (DAA) therapy. In cases of HCV cirrhosis, DAAs are worth administering before treatment by TIPS or liver transplantation.
키워드
Hydrothorax; Liver cirrhosis; Hepacivirus; Pleural effusion
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