To the Editor.
—We read with interest the article by Gavish et al in the April Archives (1983;143:674-677), and we would like to correct some inaccuracies and present our experience in a similar group of patients.Measles is recognized and mentioned as a cause of hepatic dysfunction in the last edition of Sherlock's1 book, and last year a case of acute hepatitis and clinical jaundice was reported.2In the last outbreak of measles in Israel, between October 1981 and April 1982, 68 patients aged 16 to 32 years were admitted to our hospital with measles. Abnormal liver function test results were noted in 35 patients (52%) and five of them (7%) also had a rise in bilirubin levels, accompanied by jaundice. We could not find any correlation among our patients between the severity of illness and the impairment of liver function tests. The incidence of other bacterial complication
M. Tishler, A. L. Abramov. Hepatitis and Measles. Arch Intern Med. 1983;143(12):2333–2334. doi:10.1001/archinte.1983.00350120135032