Korean Journal of Nephrology 2000;19(1):70-76.

원저 : 민간인에서의 신증후출혈열의 임상상에 관한 연구 (Clinical Features of Hemorrhagic Fever with Renal Syndrome in Civilian)

전대원(D. W. Jun),조경란(K. R. Cho),김상목(S. M. Kim),강경원(K. W. Kahang),김호중(H. J. Kim),강종명(C. M. Kang),박찬현(C. H. Park)

Abstract

We investigated the clinical manifestations of hemorrhagic fever with renal syndrome in civilian. We retrospectively reviewed the clinical manifestations and laboratory findings of the thirty-nine patients who had visited our hospital. The characteristic clinical findings observed in these patients were lower incidence of hemorrhagic tendency such as conjunctival hemorrhage(13%) and petechial hemorrhage (18%) and higher incidence of gastrointestinal symptoms such as abdominal pain and nausea(69%). And only 5Yo of the patients had the hypotensive period. Laboratory findings showed comparatively mild degree of thrombocytopenia and decreased renal func- tion. However ALT and AST were revealed abnormally increased at 82.1% and 66.7% of the patients respectivelly. The above results represented that the recent infections of hemorrhagic fever with renal syndrome in civilian showed atypical manifestations of lower incidence of the hypotensive period and lesser hemorrhagic tendency, so we should consider hemorrhagic fever with renal syndrome as a diagnosis when a patient has these clinical features in epidemic seasons.