Clinical Features and Liver Biochemical Activity of Hepatitis A

  • S. Zuraida Zulkarnain Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Anna Tjandarjani Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
  • Arwin P. Akib Department of Child Health, University of Indonesia Medical School/Dr. Cipto Mangunkusumo Hospital, Jakarta
Keywords: biochemical activity, hepatitis A, liver,

Abstract

A descriptive, cross sectional study, was conducted between January 1st 1993 until June 30th 1998. The objective of the study is to describe clinical features and liver biochemical activity of hepatitis A. Ninety three cases of hepatitis A (55,0%) were colleed from hospitalized acute viral hepatitis. Only 92 cases were evaluated, becuse no initial data was found in one case. The highest number of cases (44.5%) was in the age group of 5-10 years, 53 cases (57.6%) were boys and 39 cases (42.4%) were girls. From the history of illness 82 cases (89: 1 %) with jaundice, 60-80% with fever, nausea, vomiting, and anorexia. Abdominal pain and weakness in 35%, less than 12% wlth headache, myalgia, diarrhea, common cold and cough. Fifty cases (54.3%) were underweight based on weight for age. From physical examination 89.1% of cases showed Jaundice, 68.5% hepatomegaly, 23.9% abdominal tenderness, 18.5% fever, 6.5% splenomegaly, 5% pale, and 1.1% unconscious. Test of biochemical activity showed wide range result, AST 22-2869 IU/L, ALT 22-2880 IU/L, conjugated bilirubin 0.07-20.27 mg/dL and unconjugated bilirubin 0.14-11.89 mg/dL. Prolonged cholestatic, fulminant hepatitis and anerma were found in less than 3.2% of cases.

References

1. Mowat AP. Liver disorders in childhood, 3rd ed. Oxford: Butterworth-Heinemann, 1994; 97-103.
2. Balistreri WF. Acute and chronic viral hepatitis. In: Suchy FJ, ed. Liver disease in children. St. Louis: Mosby, 1994;460-4.
3. Lemon SM. Type A viral hepatitis. N Engl J Med. 1985;313:1059-67.
4. Sulaiman A, Julitasari. Hepatitis A. In; Sulaiman A, Julitasari, Eds. Virus hepatitis A sampai E di Indonesia. Jakarta: Ikatan Dokter Indonesia, 1995;1-15.
5. Gust ID, FEinstone SM. Hepatitis A. In: Popper H, Schaffner F, Eds. Progress in liver disease. Philadelphia: Saunders;677-95.
6. Akbar N, Basuki B, Garabrnt DH, Waspadji S, Noer HMS. Risk of anti-hepatitis A virus in an urban population in Jakarta. In: Akbar N, Noer HMS, Eds. Penyakit hati epidemiologi, diagnosis, dan penatalaksanaan. Jakarta: Balai Penerbit FKUI, 1997;49-55.
7. Domingo E, Lansang MA, Ramirez B, et al. Viral hepatitis in Philipines: aperspective. In: Nishioka K, Suzuki H, Mishiro S, Oda T, Eds. Viral hepatitis and liver disease. Tokyo: Springer-Verlag, 1994;390-3.
8. Gust ID. Global perspective of viral hepatitis and liver diasease: the Western Pacific. In: Nishioka K, Suzuki H, Mishiro S, Oda T, Eds. Viral hepatitis and liver disease. Tokyo: Springer-Verlag, 1994;397-9.
9. Tandon BN, Achraya SK, Dosarathy S, Tandon A. Viral hepatitis in India. In: Nishioka K, Suzuki H, Mishiro S, Oda T, Eds. Viral hepatitis and liver disease. Tokyo: Springer-Verlag, 1994; 397-9.
10. Koff RS> Clinical manifestations and diagnosis of hepatitis A virus infection. Vaccine 1992;10 Suppl 1:S15-7.
11. Edaran Menkes RI No. 736A/MENKES/XI/1989 tentang batasan anemia gizi di Indonesia.
Published
1999-03-15
How to Cite
1.
Zulkarnain S, Tjandarjani A, Akib A. Clinical Features and Liver Biochemical Activity of Hepatitis A. PI [Internet]. 15Mar.1999 [cited 19Apr.2024];39(11-12):302-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1786
Received 2018-02-14
Accepted 2018-02-14
Published 1999-03-15