机构:[a]Department of Hematology, Xuanwu Hospital, Capital Medical University, Beijing, P. R. China.血液科首都医科大学宣武医院[b]Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing, P. R. China.放射科首都医科大学宣武医院
Rationale:This report describes seroconversion of hepatitis B surface antigen (HBsAg) in a patient with marked iron overload caused by chronic hepatitis B (CHB) after receiving iron chelation therapy and discusses the role of iron chelation therapy in CHB.Patient concerns:Increased serum ferritin level for 2 months.Diagnosis:Secondary iron overload and CHB.Intervention:To relieve iron load of the body, the patient underwent regular phlebotomy therapy and deferoxamine (DFO) therapy. During the therapy, serum ferritin and hepatitis B virus (HBV) were monitored and the iron concentration of the liver and heart were followed by T2 of magnetic resonance imaging (MRI) scan.Outcomes:Serum ferritin gradually decreased. Approximately 1 year after the therapy, HBsAg turned persistently negative.Lessons:Iron chelation therapy may attenuate HBV infection.
第一作者机构:[a]Department of Hematology, Xuanwu Hospital, Capital Medical University, Beijing, P. R. China.
通讯作者:
通讯机构:[*1]Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China
推荐引用方式(GB/T 7714):
Dong-Mei Zou,Dong-Dong Rong ,Hong Zhao,et al.Improvement of chronic hepatitis B by iron chelation therapy in a patient with iron overload: A case report[J].MEDICINE.2017,96(52):e9566.doi:10.1097/MD.0000000000009566.
APA:
Dong-Mei Zou,Dong-Dong Rong,,Hong Zhao,Li Su,&Wan-Ling Sun,.(2017).Improvement of chronic hepatitis B by iron chelation therapy in a patient with iron overload: A case report.MEDICINE,96,(52)
MLA:
Dong-Mei Zou,et al."Improvement of chronic hepatitis B by iron chelation therapy in a patient with iron overload: A case report".MEDICINE 96..52(2017):e9566