Patient: description of the disease (time of onset, the main symptoms, hospital etc.): at the end of last September I fatigue, yellow urine,
Patient: description of the disease (time of onset, the main symptoms, hospital etc.): at the end of last September I fatigue, yellow urine, yellow face, check liver function: 117 bilirubin, direct bilirubin and indirect bilirubin of 90 27 3300 2100 Y alanine aminotransferase aspartate - glutamyl 228 lactate dehydrogenase 533 total bile acid alkaline phosphatase, 296 the total protein and globulin were normal in the white, Suzhou Fifth People's Hospital for treatment, examination of several common hepatitis virus were negative, several times to check the EB virus IGG weakly positive, the local doctor said that the EB virus antibodies, it does not matter, exclude autoimmune hepatitis, 33 days of hospitalization, liver function have normal. The doctor gave me a hospitalized liver autigo infusion, eat a month after discharge or Diammonium Glycyrrhizinate Enteric-coated Capsules, now turned yellow, tongue thick white. Then taking safflower Qinggan pill of thirteen ingredients. 1. The local hospital doctor said "the etiology of hepatitis 10%-15% in pathogenesis of hepatitis in the crowd." At present in your hospital, whether there is also unknown cause of acute hepatitis? 2. EB virus infection is not the reason?
Department of Hepatology, Shanghai public health clinical center, Zhang Zhanqing:
Unexplained acute viral hepatitis, the reasons are: (1) the known hepatitis virus infection, but the kit cannot be detected; (2) the known hepatitis virus infection, but the patients produced antibodies against the virus level is low; (3) the unknown hepatitis virus infection at present, detection means do not cover these viruses; (4) non hepatitis virus infection, liver injury is a concomitant injury of these viral infections; (5) bacterial infections, such as special typhoid, hepatitis can appear similar performance; (6) the liver injury caused by non infective factors, such as drugs, alcohol or some medical properties of health care products, etc..
Autoimmune hepatitis in the first appearance is often misdiagnosed as hepatitis, liver injury occurs when the doctor will consider; usually the first appearance of liver damage, the doctor attributed to infection factors.
If you want to further understand the causes of liver disease, it is recommended to do a liver biopsy, and more exchanges with the doctor.