Table 1 Demographic and clinical characteristics of the 32 patients with unexplained hepatitis
From: Adeno-associated virus 2 infection in children with non-A–E hepatitis
Demographics | Results |
Age (years)a | 4.1 (2.7–5.5, 0.9–10.6) |
Sex (girls)b | 20 (63%) |
Co-morbidityb | 9 (28%)c |
Biochemistry | |
Peak bilirubina (µmol l–1) | 82 (36–160, 3–387) |
Peak alanine transaminasea (U l–1) | 1,757 (708–2,763, 333–5,417) |
Peak aspartate transaminasea (U l–1) | 2,048 (833–3,408, 424–6,908) |
Peak γ-glutamyltransferasea (U l–1) | 124 (91–162, 18–720) |
Peak international normalized ratioa | 1.2 (1.1–1.4, 1.0–2.9) |
Peak C-reactive proteina (mg l–1) | 5 (3–11, 1–117) |
Caeruloplasmina (n = 24) (g l–1) | 0.36 (0.33–0.39, 0.22–0.52) |
Key autoimmune parameters | |
IgGa (g l–1) | 11.8 (9.9–14.3, 1.5–21.0) |
Coeliac screen (TTG antibody) (n = 26) | 26 normal range |
Anti-mitochondrial antibody | 32 negative |
Anti-smooth muscle antibody | 29 negative, 3 low positive (1:40)c |
Anti-liver kidney microsomal 1 antibody | 32 negative |
Anti-nuclear antibody | 28 negative, 4 weak positive 1:80 titrec |
Clinical presentation | |
Symptoms at presentationb | |
• Vomiting | 22 (69%) |
• Jaundice | 21 (66%) |
• Poor appetite | 12 (38%) |
• Lethargy or fatigue | 10 (31%) |
• Abdominal pain | 10 (31%) |
• Diarrhoea | 4 (13%) |
Subacute symptoms for ≥14 days before presentation (n = 32) | 18 (56%) |
Subacute symptoms reported (n = 18) | |
• Intermittent vomiting | 15 (83%) |
• Initial gastroenteritis-like illness | 12 (67%) |
• Abdominal pain | 9 (50%) |
• Lethargy or fatigue | 7 (39%) |
• Poor appetite | 6 (33%) |
• Weight loss | 6 (33%) |
Approximate duration of subacute symptoms before presentationa,d | 42 (27–52, 14–85) days |
Length of hospital staya,e | 6 (4–10, 1–68) days |
Required transfer to tertiary liver unit | 4 (12.5%) |
Required liver transplant | 1 (3%) |