Case Report
Immune Thrombocytopenia Associated with Hepatitis B Virus and Autoimmune Hepatitis and Recovery of Platelet Count following Liver Transplantation
Table 1
Serologic markers on admission.
| | Hematology | | | | | White blood cell | 5.9 | | ×109/L | | Red blood cell | 3.46 | (L) | ×1012/L | | Hemoglobin | 9.3 | (L) | g/dL | | Hematocrit | 25.7 | (L) | % | | Platelets | 10 | (LL) | ×109/L |
| | Coagulation | | | | | PT | >120 | (H) | sec | | PT-INR | >10 | (HH) | | | aPTT | 43.8 | (H) | sec | | Fibrinogen | 159 | (L) | mg/dL | | D-dimer | 55,418 | (H) | FEU |
| | Biochemistry | | | | | Albumin | 2.1 | (L) | g/dL | | Bilirubin, total | 12.9 | (H) | mg/dL | | Bilirubin, conjugated | 4.7 | (H) | mg/dL | | AST | 3,061 | (H) | U/L | | ALT | 1,519 | (H) | U/L | | ALP | 115 | (H) | U/L | | BUN | <1 | (L) | mg/dL | | Creatinine | 0.6 | | mg/dL |
| | Immunology | | | | | ANA | Negative | | | | Anti-SM Ab | Positive | | | | Anti-SM Ab titer | 1 : 160 | | | | Antimitochondrial | Negative | | | | IgG | 1,280 | | mg/dL | | IgM | 97 | | mg/dL | | IgG4 | 108 | | mg/dL |
| | Infectious | | | | | HBV core Ab | (+) | | | | HBV surface Ab | (-) | | | | HBV surface Ag | (+) | | | | HBV DNA | 1,010 | | IU/mL | | HCV RNA | (-) | | | | HIV Ab/Ag | (-) | | | | CMV IgG | (+) | | | | EBV IgG | (+) | | |
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PT: prothrombin time; INR: international normalized ratio; aPTT: activated partial thromboplastin time; AST: aspartate aminotransferase; ALT: alanine aminotransferase; SM: antismooth muscle; HBV: hepatitis B virus; HCV: hepatitis C virus; CMV: cytomegalovirus; EBV: Epstein-Barr virus.
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