Validity of acute phase proteins and trace metals as adjuncts in viral hepatitis A and B

The level of seven acute phase proteins was estimated together with copper and zinc in two groups of 15 children each suffering from hepatitis A (HAV) or Hepatitis B (HBV). The mean concentration of α-1 antitrypsin, α-2 macroglobulin, ceruloplasmin, C3 and copper was increased uniformly in both the types of viral hepatitis. α-1 acid glycoprotein, haptoglobin and zinc levels were decreased in both the infections. A significant decrease in albumin level was observed in HAV while the decrease was not significant in HBV. All the paramenters were repeated after one month on the day of discharge following the disappearance of clinical signs and symptoms wherein the haptoglobin level returned to normal in HAV. No change was observed in the level of other acute phase proteins. The level of the trace elements returned to normal. The observed increase in the levels of acute phase proteins at the onset does not seem to have any significant relation to the subsequent course of the disease. However, the level of acute phase proteins and other biochemical parameters may indicate a delayed biochemical recovery phase in conjunction with the underlying hepatic pathological changes in the course of viral hepatitis in spite of clinical recovery.