title: Profound jaundice in a patient with acute hepatitis C.
abstract: A 52-year-old African-American woman with overall good health and medical history of asthma and depression presented with right lower quadrant abdominal pain, vomiting and icterus for 3 weeks. Her physical examination was remarkable for only sclera icterus and mild tenderness on palpation in the right lower quadrant. Investigations revealed marked hyperbilirubinemia and transaminitis, with other serological and radiological studies unremarkable and a hepatitis A, B and C panel negative 3 weeks before presentation. Repeat hepatitis panel showing hepatitis C antibody positive with viral load 20 739 524 IU/mL. Liver biopsy supported the diagnosis of acute hepatitis C infection.
authors.affiliation: Department of Internal Medicine, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan, USA.
authors.forename: Prateek
authors.initials: P
authors.lastname: Lohia
authors.forename: Raxitkumar
authors.initials: R
authors.lastname: Jinjuvadia
authors.forename: Elizabeth
authors.initials: E
authors.lastname: May
mesh_terms: D000208:Acute Disease; D001706:Biopsy; D005260:Female; D006526:Hepatitis C / Q000150:complications / Q000473:pathology*; D006801:Humans; D007565:Jaundice / Q000209:etiology / Q000473:pathology*; D008099:Liver / Q000473:pathology*; D008875:Middle Aged
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