• Title/Summary/Keyword: Acute hepatitis

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Effects of Fel Ursi, Bezoar Bovis and Ung-Whang Tang on the Galactosamine-induced Acute Hepatitis in Rats (웅담(熊膽), 우황(牛黃) 및 웅황탕(熊黃湯)이 galactosamine에 의한 흰쥐의 급성 간염에 미치는 영향)

  • Park, Tae-Ho;Seong, Nak-Sul;Lee, Young-Jong
    • The Korea Journal of Herbology
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    • v.20 no.2
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    • pp.127-136
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    • 2005
  • Objectives : The present study attempted to reveal the effects of the combination of Fel Ursi and Bezoar on the improvement of the function of the liver, through examining the effects of Fel Ursi, Bezoar, and Woong-Whang Tang composed of Fel Ursi and Bezoar. Method : Acute hepatitis was induced by galactosamine to rats, and then Fel Ursi, Bezoar Bovis, and Woong-Whang Tang were introjected to measure the influence of serums such as AST, ALT, ALP, ${\gamma}GT$, and lipid peroxide of liver tissues which are considered as the index of the function of the liver. Results : 1. Fel Ursi decreased the lipid peroxide of ALT, ${\gamma}FT$, and liver tissue and that of mitochondria in liver tissues of the rats with galactosamine-induced acute hepatitis, but it did not have any significant effect on AST and ALP. 2. Bezoar Bovis decreased the lipid peroxide of AST, ALT, ALP, ${\gamma}GT$, and the liver tissues among serum of the rats suffering from acute hapatitis induced by galactosamine, but it did not have any significant effect on that of mitochondria of the liver tissues. 3. Woong-Whang Tang had a significant effects on the lipid peroxide of AST, ALT, ALP, ${\gamma}GT$, and the liver tissues, and on the decrease of lipid peroxide of mitochondria, among serum of the rats suffering from acute hapatitis induced by galactosamine. Conclusion : Fel Ursi and Bezoar Bovis were judged to be effective on the acute hepatitis of the liver by galactosamine. In particular, Woong-Whang Tang which was composed of the combination of Fel Ursi and Bezoar Bovis was more efficient in the improvement of the function of the liver and the amount of lipid peroxide than the respective use of Fel Ursi or Bezoar Bovis.

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A Case Report of Acute Hepatitis B (급성 B형간염 환자에 대한 치험 1례(例))

  • Sim, Kuk-Jin;Shim, Ha-Na;Kim, Yu-Kyung;An, Ki-Young;Lee, Jin-Goo;Song, Bong-Keun;Park, Hyoung-Jin
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.212-220
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    • 2004
  • A 36 year-old female patient with acute hepatitis B was treated with modified Chunggangunbi-tang. The patient complained of right arm and numbness, chest pain and discomfort, pain in the right chest, fever, athalpia, indigestion, fatigue, pruritus, jaundice and other minor problems. Two weeks later, symptoms has gone from severe to mild and transaminase level was lower. The medicine was prescribed for four more weeks and symptoms disappeared. The transaminase level fell to within normal range with no side effect. The Chunggangunbi-tang showed desirable effect on indigestion and more rapid recovery of liver function than previous reports on treatment for hepatitis. Finally results from clinicopathological examinations(about AST, ALT, total bilirubin, direct bilirubin, etc.) were promising. o we hope that this clinical study is helpful in treating patients with hepatic disease. Result suggests that oriental medical therapy is useful in treating acute hepatitis type B. More study and development of approach and application of this treatment for acute hepatitis type B are necessary.

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ACUTE TOXICITY STUDY OF HEPACCINE-B(HEPATITIS B VACCINE)

  • Lee, Yong-Soon;Cho, Jung-Silk;Kim, Sun-Chul
    • Toxicological Research
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    • v.2 no.1
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    • pp.23-30
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    • 1986
  • Acute toxicity study was conducted on a Hepatitis B vaccine (Hepaccine-B-inj.) with mice, guinea pigs, and rabbits, in accordance with the norms suggested by the F.D.A. in U.S.A. Dose ranges were 2 doses/mouse, 5 doses/guinea pig, 10 doses/rabbit. They received the vaccine subcutaneously and intraperitoneally. Thereafter, all animals injected were observed of general signsdaily, and of body weight for two weeks. At the end of the observation period (or at the time of death), all animals received the highest dose group were autopsied and gross observation was made on various organs and tissues. No significant toxicity was noted.

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Natural History of Chronic Hepatitis in Korea (한국(韓國)에 만연(蔓延)하고 있는 만성간염(慢性肝炎)의 자연병력(自然病歷))

  • Chung, Whan-Kook
    • The Journal of the Korean life insurance medical association
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    • v.2 no.1
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    • pp.34-36
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    • 1985
  • Korea is an endemic area of chronic hepatitis in the world. Liver cirrhosis and liver cell carcinoma, presumed to be related to such chronic hepatitis, are the major causes of death in this country. The purpose of this study is disclosing the sources of chronic hepatitis in Korea establishing its histologic characteristics, disclosing the patterns of progression in chronic hepatitis, delineating its prognosis and finally speculating its etiology. The study group was composed of 183 patients with biopsy-proven acute icteric viral hepaticis, 32 patients with biopsy- proven anicteric hepatitis and 260 patients with biopsy- proven chronic hepatitis. These patients submitted to long-term follow-up by means of liver needle biopsy and/or clinicolaboratory evaluation. The period of follow-up ranged from two months to 18 years. The histological features of the initial biopsy specimens of chronic hepatitis permitted a division of the cases cases into the following five types: Type I. Persisting portal hepatitis : so called persisting hepatitis 43 Type II. Chronic inactive hepatitis with incomplete strand septal fibrosis. This type has thin fibrotic septation in addition to Type I with portal sclerosis 38 Type III. Chronic active periportal hepatitis(CAPH) : so called aggressive hepatitis, characterized by marked piecemeal necrosis. This type has been subdivided further into three groups: AB and C on the basis of histologic features. A CAPH without cirrhosis 15 B CAPH with cirrhosis 99 C CAPH with diffuse acinus type parenchymal nodules; characterized by rosette-forming micronodules 21 Type IV. Subacute hepatic necrosis; characterized by multilobular and/or bridging necrosis. 14 Type V. Persisting lobular hepatitis; characterized by spotty necrosis, which looks very similar to acute viral hepatitis. Such histologic changes should be persisted for more than six months 30 In Korea the main source of chronic hepatitis is the anicteric type. Of the chronic hepatitis observed in the hospital, Type IIIb was the most frequent in its incidence and occasionally exhibited development of hepatocellular carcinoma, but the mortality was highest in Type IIIc during the period of follow-up. Histologic characteristics of these five types suggest a spectrum of chronic hepatitis in Korea from an early and mild stage to advanced and fatal cirrhosis, which is occasionally associated with primary hepatic cell carcinoma. It seems that Type IV can be followed by flare-up of various stages of acute and chronic hepatitis with HBsAg and that many cases of liver cirrhosis prevalent in Korea occur through such an active process of Type IV. The etiology is not established, but in Korea it is mainly related to HBsAg.

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Two Patients of Acute Liver Damage following the Ingestion of a Sea Hare Eggs (군소 알을 섭취한 후 발생한 급성 독선간염 2예)

  • Lee, Won-Jae;Lim, Hyun-Sul
    • Journal of agricultural medicine and community health
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    • v.30 no.2
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    • pp.241-249
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    • 2005
  • Herein, two patients of acute toxic hepatitis occurred to persons had eaten Aplysia kurodai and their eggs. The authors report 2 patients of acute toxic hepatitis with reviews of the clinical features. One patient had gathered Aplysia kurodai and it's eggs from Ulleungdo sea shore on May 17, 2003. He ate with boiling the eggs. This patient developed acute toxic hepatitis and symptoms of aplysianin poisoning, such as abdominal pain, nausea, vomiting and watery diarrhea about 10 and half hours after ingestion. The other patient had gathered Aplysia kurodai and its egg from Ulleungdo sea shore on 16 May 2004, which were consumed without boiling the eggs. This patient developed acute toxic hepatitis and symptoms of aplysianin poisoning, such as abdominal pain, nausea, vomiting and watery diarrhea, about 10 and half hours after ingestion. This patient complained of jaundice and pruritus, about 10 days after ingestion. The 2 patients all improved within 15~25 days with conservative treatment. This is the first significant report of acute toxic hepatitis caused by aplysianin poisoning following the consumption of Aplysia kurodai and their eggs in Korea. The clinical features, management and preventive counterplan of acute toxic hepatitis caused by aplysianin poisoning are also presented.

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Pediatric Mycoplasma pneumoniae Infection Presenting with Acute Cholestatic Hepatitis and Other Extrapulmonary Manifestations in the Absence of Pneumonia

  • Song, Won Jae;Kang, Ben;Lee, Hwa Pyung;Cho, Joongbum;Lee, Hae Jeong;Choe, Yon Ho
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.20 no.2
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    • pp.124-129
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    • 2017
  • Mycoplasma pneumoniae infections mainly involve respiratory tract; however, also can manifestate other symptoms by site involved. Extrapulmonary manifestations of M. pneumoniae infection are rarely known to occur without pneumonia. Herein we report a case of a 9-year-old boy who presented with acute cholestatic hepatitis in the absence of pneumonia. Rhabdomyolysis, skin rash, and initial laboratory results suspicious of disseminated intravascular coagulopathy were also observed in this patient. M. pneumoniae infection was identified by a 4-fold increase in immunoglobulin G antibodies to M. pneumoniae between acute and convalescent sera by enzyme-linked immunosorbent assay. This is the first pediatric case in Korea of M. pneumoniae infection presenting with acute cholestatic hepatitis in the absence of pneumonia.

A Tae-Eumin Exterior-Cold-Disease by the Cold in the Esophagus's Case Study of Diagnosed as Acute Hepatitis A (급성 A형간염으로 진단받은 태음인(太陰人) 위완수한표한병(胃脘受寒表寒病) 환자(患者) 치험(治驗)1례(例))

  • Choi, Eun-Joo;Song, Hak-Soo;Yoon, Woo-Young;Yoo, Jun-Sang
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.3
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    • pp.216-222
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    • 2009
  • 1. Objectives: This case study described a process of the patient diagnosed as acute hepatitis A treated by medication based on the Sasang Constitutional Medicine and acupuctural theraphy and obtained improved effects about several symptoms. 2. Methods: We diagnosed the male patient with acute hepatitis A as Tae-Eumin Exterior-Cold-Disease by the Cold in the Esophagus, and administered Mahwangbalpyo-tang and Handayeolso-tang according to clinical progress. And we evaluated the results by liver function test(LFT; AST, ALT, $\gamma$-GTP ), total bilirubin level and the visual analog scale(VAS) of symptoms. 3. Results and Conclusion: Almost symptoms (except for jaundice) at the time of admission were disappeared, and also jaundice (estimated by color of scleras and color of urine) was alleviated. Also level of AST, ALT, $\gamma$-GTP and total bilirubin decreased in laboratory test. We obtained positive effects to the therapy but we considered necessities of further comparative studies with control group.

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A Case Report of Integrative Treatment with Korean and Conventional Medicine Applied to a Patient with Acute Hepatitis A after Conventional Medicine Therapy for Chronic Obstructive Pulmonary Disease and Pneumonia (만성폐쇄성폐질환 및 폐렴으로 양약 투여 중 확진된 급성 A형 간염환자의 한·양방 치험 1례)

  • Jeong, Taek-su;Yang, Jee-yun;Jeon, Gyeong-ryung;Kwon, Do-ick
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.778-788
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    • 2017
  • Objective: We conducted this study to report the clinical manifestations of integrative treatment with Korean and conventional medicines in a patient with acute hepatitis A after conventional medicine therapy for chronic obstructive pulmonary disease and pneumonia. Methods: A patient was treated with herbal medicine, western medicine, and moxibustion. The liver function tests (GOT, GPT, ALP, ${\gamma}-GT$), total bilirubin, and 4-scale scoring (none, mild, moderate, and severe) of symptoms were used to assess any improvement in symptoms. Results and Conclusion: The symptoms at the time of admission were improved. The levels of GOT, GPT, ALP, ${\gamma}-GT$, and total bilirubin were decreased in laboratory tests. We obtained positive effects for the integrative treatment of acute hepatitis A.

Studies on the rabbit viral hepatitis II. Electron microscopic observation of the spleen in experimentally infected rabbit (토끼의 바이러스성 간염(肝炎)에 관한 연구(硏究) II. 실험적(實驗的) 오염(汚染) 토끼 비장(脾臟)의 전자현미경적(電子顯微鏡的) 관찰(觀察))

  • Lee, Cha-soo;Kwon, Young-ran;Jyeong, Jong-sik;Shin, Tae-kyun
    • Korean Journal of Veterinary Research
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    • v.33 no.1
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    • pp.125-129
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    • 1993
  • An acute fatal infectious disease in rabbits has been outbroken in Korea since 1985. This disease has been characterized as an acute hepatitis caused by viruses. However, viral pathogenesis in rabbit viral hepatitis leading to sudden death remain unclear. This report dealt with the electron microscopic findings on the spleen of experimentally infected rabbits, because spleen is one of the affected organs which have high titer of virus by a haemagglutination test. A typical crystalline array of virus was not found in the splenic cells of infected rabbits with acute hepatitis. Virus-like particles were seen within the phagosome of macrophages of the spleen. Ultrastructural changes in the spleen were severe with the lapse of time after inoculation. From these results, virus-like particles in the spleen were supposed to be phagocytosed by macrophage during viremia, while active replication of virus occurred in the liver. It was concluded that sudden death in this viral disease was caused by hepatic coma and/or circulatory disturbance.

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A Clinical Study on the Effects of Saenggan-tang (생간탕(生肝湯)의 효능(效能)에 관(關)한 임상적(臨床的) 연구(硏究))

  • Lee, Bo-Hyeong;Kim, Deok-Ho;U, Hong-Jeong;Kim, Byeong-Un
    • The Journal of Internal Korean Medicine
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    • v.11 no.1
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    • pp.29-40
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    • 1990
  • In order to study the effect on liver diseases, Saenggan-tang has been applied to 26 patients of chronic hepatitis, 9 patients of liver cirrhosis, 5 patients of acute hepatitis, 8 patients of alcoholic liver diseases, 1 patient of hepatoma total 49 patients visiting the first internal medicine department of the hospital of Oriental Medicine, Kyung Hee University. The Saenggan-tang was taken every 4 weeks (ecept acute hepatitis every 2 weeks). 1. Saenggan-tang had decrease on activity of SGOTF SGPT, with the passage of time, 4, 8, and 12 weeks, showing statistically significant effect. 2. Saenggan-tang revealed sharp decrease on levels of total bilirubin and alkaline phosphatase no showing significance in relation to a few cases 3. Serum protein total and albumin levels were in normal limit before or after Saenggan-tang treatment 4. Triglyceride level was lowered remarkably after Saenggan-tang treatment, showing significance in alcoholic liver disease group whereas no significance in chornic hepatitis Judging from above results, it is proved that Saenggan-tang has curative effect of liver diseases such as acute, chronic hepatitis, liver cirrhosis, alcobolic liver diseases and so on.

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