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Case Reports
. 2007 Nov;26(11):1973-5.
doi: 10.1007/s10067-007-0595-0. Epub 2007 Mar 6.

Acute polyarthritis revealing hepatitis E

Jacques Serratrice  1 , Patrick Disdier, Philippe Colson, Nicoleta Ene, Christine Serratrice de Roux, Pierre-Jean Weiller
Affiliations
Case Reports

Acute polyarthritis revealing hepatitis E

Jacques Serratrice et al. Clin Rheumatol. 2007 Nov.

Abstract

We report a case of acute hepatitis E occurring in a 51-year-old French woman, revealed by an abrupt onset of polyarthritis involving the ankles and knees followed by the wrists and fingers. Polyarthritis lasted up to 3 months without recurrence. Our case was characterised by a 9-month prolonged viraemia with persistence of specific IgM in the serum. The hepatitis E virus belonged to genotype 3 and may have been contracted in France or during travel to hyperendemic areas. Our case shows that acute polyarthritis could be another systemic manifestation of hepatitis E virus infection.

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