Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C
Hepatitis C most commonly manifests with asymptomatic elevations in transaminase levels or in advanced stages, may present with hepatic encephalopathy or ascites. We report the first case in the literature, in which the initial manifestation of hepatitis C induced chronic liver disease was recurrent...
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| Format: | Article |
| Language: | English |
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MDPI AG
2011-04-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/40 |
| _version_ | 1818473680238280704 |
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| author | Viplove Senadhi |
| author_facet | Viplove Senadhi |
| author_sort | Viplove Senadhi |
| collection | DOAJ |
| description | Hepatitis C most commonly manifests with asymptomatic elevations in transaminase levels or in advanced stages, may present with hepatic encephalopathy or ascites. We report the first case in the literature, in which the initial manifestation of hepatitis C induced chronic liver disease was recurrent hypoglycemia and hypothermia. In our case, the hypoglycemia was induced by glycogen depletion from hepatitis C induced chronic liver disease. In chronic liver disease, glycogen stores are depleted from extensive fibrosis and it has been shown that glycogen depletion may herald hepatic encephalopathy, which later manifested in our patient. |
| first_indexed | 2024-04-14T04:26:41Z |
| format | Article |
| id | doaj.art-ca2ae397947f4b0aa8fff94236162ab9 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-14T04:26:41Z |
| publishDate | 2011-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-ca2ae397947f4b0aa8fff94236162ab92022-12-22T02:12:17ZengMDPI AGClinics and Practice2039-72752039-72832011-04-011110.4081/cp.2011.e1820Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis CViplove Senadhi0Johns Hopkins Uniersity/ Sinai Hospital, Baltimore, Maryland, USAHepatitis C most commonly manifests with asymptomatic elevations in transaminase levels or in advanced stages, may present with hepatic encephalopathy or ascites. We report the first case in the literature, in which the initial manifestation of hepatitis C induced chronic liver disease was recurrent hypoglycemia and hypothermia. In our case, the hypoglycemia was induced by glycogen depletion from hepatitis C induced chronic liver disease. In chronic liver disease, glycogen stores are depleted from extensive fibrosis and it has been shown that glycogen depletion may herald hepatic encephalopathy, which later manifested in our patient.https://www.clinicsandpractice.org/index.php/cp/article/view/40hepatitis Crecurrent hypoglycemiarecurrent hypothermiainitial manifestation. |
| spellingShingle | Viplove Senadhi Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C Clinics and Practice hepatitis C recurrent hypoglycemia recurrent hypothermia initial manifestation. |
| title | Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C |
| title_full | Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C |
| title_fullStr | Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C |
| title_full_unstemmed | Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C |
| title_short | Recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis C |
| title_sort | recurrent hypothermia and hypoglycemia as the initial presentation of hepatitis c |
| topic | hepatitis C recurrent hypoglycemia recurrent hypothermia initial manifestation. |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/40 |
| work_keys_str_mv | AT viplovesenadhi recurrenthypothermiaandhypoglycemiaastheinitialpresentationofhepatitisc |