| A rise and fall in AST and ALT level in nonspecific reactive hepatitis |
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Tai Sung Kim, Tae Hyung Hur, Sun Jeong Lim, Joong Hyun Bin, Seung Hoon Hahn, So Young Kim, Hyun Hee Kim, Wonbae Lee |
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Department of Pediatrics, College of Medicine, The Catholic University of Korea, Pucheon, Korea |
| 비특이 반응성 간염에서 AST와 ALT 수치 상승과 회복 |
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김태성, 허태형, 임선정, 빈중현, 한승훈, 김소영, 김현희, 이원배 |
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가톨릭대학교 의과대학 소아과학교실 |
Correspondence:
Joong Hyun Bin, Email: binjh@catholic.ac.kr
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| Abstract |
Purpose
: The study was performed to assess the distribution of the diseases associated with nonspecific reactive hepatitis (NRH) for the past 10 years and to evaluate the change in the level of AST and ALT, and the difference by several variable factors.
Methods
: From January 1997 to December 2006, 646 patients had elevated liver enzymes among 22,763 patients admitted to the Holy Family Hospital. We analyzed the difference in the age distribution, the period of elevated levels of AST and ALT, the resolution period, the peak value, the daily resolution value of AST and ALT, the sexual differences and the difference in several disease entities. One hundred and ninety-seven patients not confirmed as NRH or lost during follow-up were excluded.
Results
: The prevalence rate of NRH was 2.84%. When compared to AST, ALT showed longer period of morbidity and resolution and the peak value was also higher in ALT. The male and female ratio showed significant value of 1.63:1. The morbid and resolution periods of AST and ALT between males and females were longer periods in males. The most prevalent disease entities were respiratory and gastrointestinal infections. Between the respiratory and the gastrointestinal diseases, the highest level of AST and ALT was observed in the respiratory disease.
Conclusion
: NRH is a common disease that occurs in 2.84% of the admitted pediatric patients. However, the pathogenesis and the progress of the disease have not been well known due to the lack of generalized information. Further research is necessary in the future. |
| Key Words:
Hepatitis, Alanine aminotransferase, Aspartate aminotransferase |
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