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Case report
Prolonged cholestasis after acute viral hepatitis: successfully treated with oral steroid
  1. Manjesh Jayappa,
  2. Prawin Kumar and
  3. Jagdish Prasad Goyal
  1. Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Jagdish Prasad Goyal; jpgoyal{at}


Cholestasis is a rare distinct complication of hepatitis A infection. Usually it runs a long indolent course with significant pruritus and malabsorption lasting for few months. A 9-year-old boy presented with yellowish discolouration of eye for 1 month. Liver function test showed conjugated hyperbilirubinaemia. Serology was positive for hepatitis A IgM antibody. Liver biopsy showed features of hepatitis with cholestasis. Child successfully treated with oral steroids.

  • hepatitis other
  • bilirubin disorders

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  • Contributors MJ, PK and JPG was involved in patient management. MJ wrote the manuscript which was critically evaluated by PK and JPG. All authors approve the final submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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