Bi-phasic hepatitis A

Abstract EN

Hepatitis A virus infection is the most probable diagnosis to a ehild with elevated serum aspartate aminotransferase (AST) and alanine aminotransferase (ALT) with elevated total bilirubin espeeially in the developing countries1,2.

A positive Anti Hepatitis A ،gM (Anti HAV IgM) usually will confirm the diagnosis.

Knowing that most cases of Hepatitis A is self limited and chronicity is not recognised3, relapse or poly-phasic course can present a clinical difficulty to paediatrician and can lead to a lot of unnecessary and costly investigations.

The following case report represents this condition.