Once therapy with corticosteroids started, the patient decompensated and developed ascites, and increased aminotransferases. Her hepatitis b viral load was very high at the time of diagnosis.
Una vez iniciada la terapia con corticoesteroides la paciente se descompensa, desarrolla ascitis, las aminotransferasas se elevan y la carga viral para hepatitis B es muy alta al momento del diagnóstico.