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Case 44 

Case 44
Case 44

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

Page of

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date: 27 October 2020

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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