THROMBOCYTOPENIA ASSOCIATED WITH HEPATITIS B VIRUS INFECTION-CASE REPORT

  • Haris Sulejmani Medical Doctor
  • Nenad Bogdanovski Medical Doctor
  • Ivana Zafirova Medical Doctor
  • Svetlana Krstevska Balkanov University Clinic for Hematology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia

Abstract

Two thirds of people with acute hepatitis B have an asymptomatic or subclinical infection that goes undetected. Progressive liver infection (counting cirrhosis and HCC) can be anticipated to develop in one quarter to one third of individuals who obtain infection within the first few years of life. While the exact mechanism underlying the correlations between HBV and various skin problems is still unknown, theories usually put up include virally related,immune-related mechanisms or direct harm brought on by viral replication. The most frequent cutaneous HBV infection symptom is acute urticaria. HBsAg positive was significantly and independently related with incidence thrombocytopenia in a large cohort research of an essentially healthy population, suggesting that mechanisms other than portal hypertension may underlie thrombocytopenia in healthy HBV carriers. We presented a case of Hepatitis B virus infection associated with thrombocytopenia.The patient was 53 years old man who was admitted in our clinic due to a maculo-papular rash predominantly in lower extremities after consuming alcohol without elevated temperature and accompanying symptoms.Lab test was performed and there were detected elevated liver enzymes and lower count of platelets.


 Key words: Hepatitis B virus,Thrombocytopenia,rash

References

1. L.J. Mark Feldman. Lawrence S. Friedman. Sleisenger and Fordtran’ s Gastrointestinal Liver DiseasePatophysiology Diagnosis Management, in Gastrointestinal Liver Disease, Philadephia, Elsiver, 2021, pp.1216-1277.
2. J.W.Yeh, H.S Yang. Dermatological disease associated with Hepatitis B virus infection. Dermatologica Sinica, pp142-150. 2020.
3. D.L.D.Ioana Grigorescu.Sponatneous antiviral induced cutaneous lesions in chronic hepatitis B infection.WJG. 2014:15860-66.
4. Y.CJ.J-Joo. Hepatitis B infection is associated with an increased incidence of thrompocytopenia in a healthy adults without cirrhosis.Journal of Viral Hepatits. 2016: 253-8.
5. DM Cloe Nobuhara. Immune thropmocytponeia associated with hepatitis B virus autoimmune hepatits and recovery of platelet count following liver transplantation. Hindawi case report in Transplantation, 2021; 1-5.
6. Human Jiang. Relationship between hepatitis B virus infection and platelet production and dysfunction. Plateles, 2021:212-218
7. Trearment options for Hepatitis B [online].Avialable:https// www.herb.org/treatment and managment/treatment
8. Carolina Boni. Transient restorationof anti-viral T cell responses induced bu lamivudine therpay in chronic hepatitis B. Jof hepatology,2003; pp595-605.
9. Chung Yang. Meta analysis of prpophylactic enecavir or lamivudine agains hepatitis B virus reactivation. Annals of Hepatology, 2016; pp501-511.
10. CFR Pilar Lopez- Serrano. Hepatitics B and immunosuppressive therapies for chronic inflammatory dieseas. When and how to apply prophylaxis, with a special focus on corticosteroid therapy. World Journal of Hepatology; 2015: pp 539-547
Published
2023-12-27
How to Cite
SULEJMANI, Haris et al. THROMBOCYTOPENIA ASSOCIATED WITH HEPATITIS B VIRUS INFECTION-CASE REPORT. Journal of Morphological Sciences, [S.l.], v. 6, n. 3, p. 198-202, dec. 2023. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol6no3-26>. Date accessed: 22 oct. 2024.
Section
Articles