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  • Title: Immune thrombocytopenic purpura as sole manifestation in a case of acute hepatitis A.
    Author: Tanir G, Aydemir C, Tuygun N, Kaya O, Yarali N.
    Journal: Turk J Gastroenterol; 2005 Dec; 16(4):217-9. PubMed ID: 16547851.
    Abstract:
    Acute hepatitis due to hepatitis A virus is usually a benign selflimiting disease during childhood. Although many viral infections such as hepatitis B virus, Parvovirus, and Epstein-Barr virus are associated with extrahepatic autoimmune phenomena, such manifestations are rare in patients with acute hepatitis A infection. Immune thrombocytopenia is a benign, self-limiting disease in children, responding well to treatment and generally associated with viral infections. Immune thrombocytopenic purpura is rarely reported as a manifestation of acute hepatitis A. We report a five-year-old boy with immune thrombocytopenic purpura as the sole manifestation of anicteric acute hepatitis A infection. Acute hepatitis A should be included in the differential diagnosis of immune thrombocytopenic purpura.
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