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고영선 ( Young Sun Ko ),유기덕 ( Ki Deok Yoo ),현일식 ( Yil Sik Hyun ),정해룡 ( Hae Ryoung Chung ),박수역 ( Soo Yuk Park ),김선민 ( Sun Min Kim ),전용철 ( Yong Cheol Jeon ) 대한소화기학회 2010 대한소화기학회지 Vol.55 No.3
Hepatitis A virus (HAV) infection is common in developing countries, including Korea. It can be accompanied by extrahepatic complications such as renal failure, arthritis, and vasculitis. Pleural effusion is a very rare complication of HAV infection, which has been reported usually in children, and has benign clinical courses. Here we report a case of pleural effusion with ascites which occurred in an adult hepatitis A patient. A 26-year-old-woman presented generalized myalgia and fever and was diagnosed as acute hepatitis A. Despite of the improvement of laboratory findings, fever and cough persisted. Pleural effusion newly appeared on the serial chest radiologic images. After the fever settled down, the pleural effusion resolved spontaneously at 13th day of admission. (Korean J Gastroenterol 2010;55:198-202)