A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier
Hepatitis B virus (HBV) may be reactivated after chemotherapy or immunosuppressive therapy, and therefore administration of antiviral agents before such treatment is recommended. Most reported cases of reactivation are associated with high doses of immunosuppressive agents or combination therapy. We...
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The Korean Association for the Study of the Liver
2012
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Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3415881/ |
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pubmed-34158812012-08-14 A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier Bae, Joong Ho Sohn, Joo Hyun Lee, Hye Soon Park, Hye Sun Hyun, Yil Sik Kim, Tae Yeob Eun, Chang Soo Jeon, Yong Cheol Han, Dong Soo Case Report Hepatitis B virus (HBV) may be reactivated after chemotherapy or immunosuppressive therapy, and therefore administration of antiviral agents before such treatment is recommended. Most reported cases of reactivation are associated with high doses of immunosuppressive agents or combination therapy. We present a case of a previously inactive HBV carrier with an acute severe flare-up during a long-term, very-low-dose (2.5 mg/day) steroid treatment for rheumatoid arthritis. We suggest that even a minimal dose of single-regimen oral steroid can cause reactivation of indolent, inactive HBV. The Korean Association for the Study of the Liver 2012-06 2012-06-26 /pmc/articles/PMC3415881/ /pubmed/22893874 http://dx.doi.org/10.3350/cmh.2012.18.2.225 Text en Copyright © 2012 by The Korean Association for the Study of the Liver http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Bae, Joong Ho Sohn, Joo Hyun Lee, Hye Soon Park, Hye Sun Hyun, Yil Sik Kim, Tae Yeob Eun, Chang Soo Jeon, Yong Cheol Han, Dong Soo |
spellingShingle |
Bae, Joong Ho Sohn, Joo Hyun Lee, Hye Soon Park, Hye Sun Hyun, Yil Sik Kim, Tae Yeob Eun, Chang Soo Jeon, Yong Cheol Han, Dong Soo A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
author_facet |
Bae, Joong Ho Sohn, Joo Hyun Lee, Hye Soon Park, Hye Sun Hyun, Yil Sik Kim, Tae Yeob Eun, Chang Soo Jeon, Yong Cheol Han, Dong Soo |
author_sort |
Bae, Joong Ho |
title |
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
title_short |
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
title_full |
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
title_fullStr |
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
title_full_unstemmed |
A fatal case of hepatitis B virus (HBV) reactivation during long-term, very-low-dose steroid treatment in an inactive HBV carrier |
title_sort |
fatal case of hepatitis b virus (hbv) reactivation during long-term, very-low-dose steroid treatment in an inactive hbv carrier |
description |
Hepatitis B virus (HBV) may be reactivated after chemotherapy or immunosuppressive therapy, and therefore administration of antiviral agents before such treatment is recommended. Most reported cases of reactivation are associated with high doses of immunosuppressive agents or combination therapy. We present a case of a previously inactive HBV carrier with an acute severe flare-up during a long-term, very-low-dose (2.5 mg/day) steroid treatment for rheumatoid arthritis. We suggest that even a minimal dose of single-regimen oral steroid can cause reactivation of indolent, inactive HBV. |
publisher |
The Korean Association for the Study of the Liver |
publishDate |
2012 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3415881/ |
_version_ |
1611548943806627840 |