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Case 43 

Case 43
Chapter:
Case 43
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.43
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date: 22 August 2019

A 42-year-old male caretaker had abnormal liver function tests when he went to see his family practitioner about back pain and fatigue. He remembered being jaundiced for 2 weeks when he was 18 years of age, but this was never investigated. He drank 2–3 cans of beer each week. He had not been tested for hepatitis C, but he had used intravenous drugs from 17 years of age until he was 24 years. There was no family history of liver disease or autoimmune disease. He was a non-smoker and not on any regular medication. He had been diagnosed with depression in the past and had taken fluoxetine 2 years ago.

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