摘要
We are describing an interesting case of two chronic liver diseases in a 48-year-old Chinese woman.While chronic hepatitis B is a common entity in Asia,the patient was later found to have active,asymptomatic primary biliary cirrhosis due to a persistently elevated alkaline phosphatase level after optimal hepatitis B virus DNA suppression on antiviral therapy.This report emphasizes the importance of keeping a high index of suspicion for another potential liver disease process even after a patient has been successfully treated for a primary liver condition.Clinical vigilance,especially in atypical clinical presentations,can result in early accurate diagnosis and prompt treatment.
