Journal List > Korean J Pediatr Gastroenterol Nutr > v.12(1) > 1110068

Korean J Pediatr Gastroenterol Nutr. 2009 Mar;12(1):88-92. Korean.
Published online Mar 31, 2009.
Copyright © 2009 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Chronic Hepatitis C Acquired throughEar Piercing and Acupuncture
Jee Yeon Rim and Kyung Rye Moon
Department of Pediatrics, College of Medicine, Chosun University, Gwangju, Korea.

Although transfusion of blood and plasma products are accepted as the principle means of transmission of HCV, other parenteral methods, such as acupuncture, tattooing needles, piercing, and surgery are possible methods of transmission of HCV. We managed a case of chronic hepatitis C acquired through ear piercing and acupuncture. A 10-year old girl presented with nausea, abdominal pain, and anorexia for 1 month. Her laboratory finding showed the following: AST/ALT, 865/1,290 IU/L; positive anti-HCV Ab; and HCV RNA. One year previously, she was treated with acupuncture for an ankle sprain and 2 years previously, she had her ears pierced. Laboratory findings of family members showed AST/ALT in the normal ranges, and negative anti-HCV Ab and HCV RNA. The pathologic findings of a liver biopsy revealed chronic hepatitis with mild lobular activity, moderate porto-periportal activity, and portal fibrosis. She was treated with pegylated interferon alpha-2a and oral ribavirin for 6 months, after which the clinical symptoms and laboratory findings improved.

Keywords: Hepatitis C; Acupuncture; Ear piercing