Subclinical Hepatitis in Rubeola Infections in Young Adults

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Rubeola (measles) is an acute febrile illness predominantly affecting children. Over the past 3 years there has been a marked increase in reported cases of measles in the United States: 24 374 cases in 1975; 39 388 cases in 1976; and 54 596 cases in 1977 (1, 2). Recent data from states that report measles by age reveal a shift to a greater proportion of cases in older age groups (1). Hepatic involvement as a consequence of rubeola has been rarely recognized (3–5).

Thirty-one patients were admitted to the hospital when their rashes became clinically evident. The tentative diagnosis of

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