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December 1983

Hepatitis and Measles-Reply

Arch Intern Med. 1983;143(12):2334. doi:10.1001/archinte.1983.00350120135033

In Reply.  —Dr Tishler's findings confirm our primary observation that there is a high incidence of liver involvement in hospitalized young adults with measles. Naturally, only the more severely ill patients who deserved meticulous clinical supervision were admitted in the first place. In this selected population the incidence of liver involvement was 80%. We are sure that this was also the policy behind Dr Tishler's hospitalization admittances and thus the incidence of liver involvement was also high in his experience.As only a small fraction of the population was hospitalized, neither we nor Dr Tishler could estimate the exact magnitude of the measles hepatitis epidemic.It is estimated that one in every 15 patients with measles suffers at least one complication.1 The percentage of bacterial complication in our patients was somewhat different from that reflected in the general literature, which deals largely with children.2 However, it is close

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