STUDY OF ETIOLOGY AND HUMORAL IMMUNOLOGICAL CHANGES IN PATIENTS WITH HEPATIC COMA IN EGYPT

Abstract

Ninety five patients and fifteen healthj persons were included in the present study. They were classified into four groups: Group I (60 patients with hepatic coma complicating chronic liver disease). Group II (20 patients I

with fulminant hepatic coma). Group Ill (15 patients with non- encephalopathic chronic liver disease. Group IV ( 15 healthy persons as

control).

All patients and controls were subjected to thorough history taking and complete clinical examination, completd urine and stool analysis, haematological examination, ESR, BSL, sodle kidney function tests, serum I

electrolytes, some liver function tests, abdominal ultrasonography, culture of blood, urine, sputum or ascitic fluid, viral markers for HAV, HBV, HCV, HDV and HEV, measurements of arteriJl blood ammonia levels and measurements of serum IgG, IgA and IgM.