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A prospective study on immunoglobulins and ESR in acute viral hepatitis patients.

Journal of the Korean Pediatric Society 1982;25(9):914-921.
Published online September 30, 1982.
A prospective study on immunoglobulins and ESR in acute viral hepatitis patients.
Jong Wie Choi, Sung Seek Lee, Ki Sup Chung
Department of Pediatrics, Yonsei University College of Medicine, Seoul,Korea
급성 간염 환자에서 혈청 면역글로부린치 및 적혈구 침강속도의 임상적의의
최종우, 이성식, 정기섭
연세대학교 의과대학 소아과학교실
Abstract
This study was carried out in 78 subjects of both sexes who were affected by acute viral hepatitis and admitted to Severance Hospital attached to Yonsei Medical College from Oct. 1980 to June. 1981. Hepatitis B markers, serum immunoglobulins and ESR were respectively examined in all patients. The results were as follows. 1. In all patients, regardless of positivity of HB markers, IgG, IgA and IgM levels were slightly increased than, normal mean, level. But the higher increase in. IgM level would have a been found in HBsAg-negative patients. 2. In patients under 3 years of age, the higher increase in. IgM level would have been, rather found in HBsAg-positive patients. The percentage of ESR above 10 mm/hr was 79.5% in HBsAg-negative patients and 51.3% in HBsAg-positive patients. The mean levels of ERS were respectively 15.47±6.11 mm/hr and 11.49±6.53 mm/hr and there were significant diffe- rence in two study groups (p<0.01). 4. There was the proportional correlation between serum IgM levels and ESR in HBsAg- negative patients (p<0.01). The patients with ESR of above 25 mm/hr and IgM level of over 250 mg% were all HBsAg-negative patients. After all, we found that the measurement of IgM level and ESR in HBsAg-negative hepa- titis should be useful in. epidemiological and clinical work as a marker to reinforce the inability to demonstrate HBsag.
Key Words: Immunoglobulins and ESR in Acute Viral Hepatitis Patients.


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