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A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier.open access

Authors
Bae, Joong HoSohn, Joo HyunLee, Hye SoonPark, Hye SunHyun, Yil SikKim, Tae YeobEun, Chang SooJeon, Yong CheolHan, Dong Soo
Issue Date
Oct-2012
Publisher
The Korean Association for the Study of the Liver
Keywords
Hepatitis B virus; Liver failure; Steroids; Virus activation
Citation
Clinical and molecular hepatology, v.18, no.2, pp.225 - 228
Indexed
SCOPUS
KCI
Journal Title
Clinical and molecular hepatology
Volume
18
Number
2
Start Page
225
End Page
228
URI
https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/164521
DOI
10.3350/cmh.2012.18.2.225
ISSN
2287-2728
Abstract
Hepatitis B virus (HBV) may be reactivated after chemotherapy or immunosuppressive therapy, and therefore administration of antiviral agents before such treatment is recommended. Most reported cases of reactivation are associated with high doses of immunosuppressive agents or combination therapy. We present a case of a previously inactive HBV carrier with an acute severe flare-up during a long-term, very-low-dose (2.5 mg/day) steroid treatment for rheumatoid arthritis. We suggest that even a minimal dose of single-regimen oral steroid can cause reactivation of indolent, inactive HBV.
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