Widespread rash as initial presentation of acute hepatitis E in a woman with well-controlled HIV. (June 2021)

• Record Type: Journal Article
• Authors: Pringle, Rachel; van Halsema, Clare
• Is Part Of: International journal of STD & AIDS. Volume 32:Number 7(2021)
• Page Start: 671
• Page End: 673
• Publication Date: 2021-06
• Subjects: Hepatitis E -- HEV -- rash -- human immunodeficiency virus -- infectious diseases -- hepatitis; Sexually transmitted diseases -- Periodicals; AIDS (Disease) -- Periodicals; 616.951
• DOI: 10.1177/0956462420984697
• Languages: English
• ISSNs: 0956-4624

Abstract

Sporadic, acute hepatitis E is increasingly common in the United Kingdom, associated with travel or locally acquired. A 45-year-old woman with well-controlled HIV presented with a widespread, polymorphic rash and transaminitis. Acute genotype 3 hepatitis E infection was confirmed and resolved without intervention. A review of the literature reveals a number of atypical presentations of acute autochthonous hepatitis E. Clinicians should consider testing for hepatitis E in the presence of nonspecific symptoms and deranged liver function tests.