Case report: Dramatic response to lamivudine therapy following corticosteroid priming in chronic hepatitis B

  • Yun Fan Liaw*
  • , Rong Nan Chien
  • *Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

15 Scopus citations

Abstract

A 21 year-old male patient with chronic hepatitis B was treated with lamivudine 150 mg daily after withdrawal of a short course of oral prednisolone (30 mg daily for 3 weeks, 15 mg daily for 1 week). Serum hepatitis B virus (HBV)-DNA increased during prednisolone pretherapy and serum alanine aminotransferase (ALT) was increasing after withdrawal of prednisolone. Clearance of HBV-DNA with hepatitis B e antigen seroconversion and ALT normalization occurred within 2 months after starting lamivudine therapy. If this dramatic response to lamivudine therapy after corticosteroid priming is confirmed by further studies, the regimens used in this particular case might become a powerful therapeutic tool for chronic HBV infection.

Original languageEnglish
Pages (from-to)804-806
Number of pages3
JournalJournal of Gastroenterology and Hepatology (Australia)
Volume14
Issue number8
DOIs
StatePublished - 1999
Externally publishedYes

Keywords

  • Chronic hepatitis B
  • Corticosteroid priming
  • Hepatitis B virus
  • Immunomodulation
  • Lamivudine

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