Hepatitis A virus infection has many extrahepatic complications, but autoimmune manifestations are rare. Hereby, we present a 10-year-old girl who presented with petechiae, purpura, epistaxis, gingival bleeding, and thrombocytopenia, with a preceding history of hepatitis A virus infection 10 days ago. She was unresponsive to intravenous immunoglobulin treatment, but thrombocytopenia recovered with megadose steroid application. Therefore, megadose steroid may be considered as a treatment alternative in patients unresponsive to intravenous immunoglobulin.
From the *Department of Pediatrics, †Division of Hematology, Department of Pediatrics, and ‡Division of Infectious Diseases, Department of Pediatrics, Ihsan Dogramaci Pediatric Hospital, University of Hacettepe, Ankara, Turkey.
Reprints: Ayse Gultekingil, MD, Department of Pediatrics, Ihsan Dogramaci Pediatric Hospital, University of Hacettepe, Sihhiye/Ankara 06700, Turkey. E-mail: firstname.lastname@example.org.