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Case 44 

Case 44
Chapter:
Case 44
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.44
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date: 25 August 2019

A 27-year-old Chinese woman was referred for assessment of chronic hepatitis B infection. A raised ALT 600 IU/L had been found when travelling abroad. On return to the UK, she was seen for right upper quadrant pain and found to have hepatitis B. Her main complaint at presentation was fatigue in addition to the pain. She had never used intravenous drugs and had no history of blood transfusion, tattoos, or jaundice. She had undergone a laparoscopic cholecystectomy 7 years previously, but this had not relieved the pain. On examination, she had no evidence of chronic liver disease or portal hypertension.

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