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Topic: Acute Viral Hepatitis


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In the News (Tue 17 Nov 09)

  
  HepNet - Acute Viral Hepatitis in the United States
Viral hepatitis refers to a primary infection of the liver caused by at least five unrelated viruses, and acute and chronic liver disease due to viral hepatitis accounts for substantial morbidity and mortality.
The three major types of viral hepatitis in the United States are hepatitis A, hepatitis B, and hepatitis C. The serologic exclusion of the known hepatitis viruses continues to leave cases of hepatitis that clinically appear to be viral in origin.
Had hepatitis B vaccine been routinely administered in STD clinics or prisons, as is recommended, up to one half of all cases of acute hepatitis B could potentially have been prevented.
www.hepnet.com /hepc/aasld00/alter.html   (2236 words)

  
 Acute Viral Hepatitis: Hepatitis: Merck Manual Professional
Acute viral hepatitis is diffuse liver inflammation caused by specific hepatotropic viruses that have diverse modes of transmission and epidemiologies.
Acute HDV infection typically presents as unusually severe acute HBV infection (co-infection), an acute exacerbation in chronic HBV carriers (superinfection), or a relatively aggressive course of chronic HBV infection.
Fulminant hepatitis is a rare syndrome of massive necrosis of liver parenchyma and a decrease in liver size (acute yellow atrophy) that usually occurs in infection with certain hepatitis viruses or with toxic agents or in drug-induced injury.
www.merck.com /mmpe/print/sec03/ch027/ch027b.html   (3202 words)

  
 Index | CDC Viral Hepatitis
Hepatitis C: is a liver disease caused by the hepatitis C virus (HCV), which is found in the blood of persons who have the disease.
Hepatitis D: is a liver disease caused by the hepatitis D virus (HDV), a defective virus that needs the hepatitis B virus to exist.
Hepatitis E: is a liver disease caused by the hepatitis E virus (HEV) transmitted in much the same way as hepatitis A virus.
www.cdc.gov /ncidod/diseases/hepatitis/index.htm   (312 words)

  
 HEPATITIS
Under most circumstances none of the hepatitis viruses is known to directly damage hepatocytes; liver damage and subsequent clinical symptoms associated with acute hepatitis are generally a result of the host’s immune response to infection.
Acute hepatitis is associated with a characteristic set of symptoms; the symptoms caused by HAV, HBV, and HCV are indistinguishable, except that acute HCV infection is more frequently subclinical.
Fulminant hepatic failure is defined by the presence of hepatic encephalopathy and severe impairment of liver function (eg, elevated serum bilirubin and prothrombin time with decreasing serum albumin concentrations).
www.ccjm.org /hepatitis/text19.htm   (466 words)

  
 Chapter 14 - Section 4: First Principles of Gastroenterology
Hepatitis D infection may originate as a co-infection with hepatitis B or as a superinfection in a patient who is already a chronic HBV carrier.
Hepatitis E (epidemic hepatitis) appears to be due to a single-stranded RNA virus of 27-34 nm in size.
This pattern is most characteristic of hepatitis A. In some cases of hepatitis B, the second phase is due to acute hepatitis D. Hepatitis C is characterized by continued and wide fluctuations in liver aminotransferase values, but a biphasic clinical course is uncommon.
gastroresource.com /GITextbook/en/Chapter14/14-4.htm   (3096 words)

  
 Hepatitis
Acute viral hepatitis varies from a minor flu-like illness to an overwhelming infection resulting in liver failure and death.
One trial has suggested that silymarin may be more effective for hepatitis B as opposed to hepatitis C. Recent findings have shown that silymarin has the ability to block fibrosis, a process that contributes to the eventual development of cirrhosis in persons with inflammatory liver conditions secondary to alcohol abuse or hepatitis.
A series of cases of acute viral hepatitis were reported by one group in India, showing picrorhiza, combined with a variety of minerals, to be helpful in hastening recovery.
www.publix.com /wellness/notes/Display.do?id=Concern&childId=Hepatitis   (3796 words)

  
 Acute Viral Hepatitis: Hepatitis: Merck Manual Home Edition
Acute viral hepatitis is inflammation of the liver caused by infection with one of the five hepatitis viruses; for most people, the inflammation begins suddenly and lasts only a few weeks.
Hepatitis A and C often produce very mild symptoms, or none at all, and may go unnoticed, whereas B and E are more likely to produce severe symptoms.
A number of other preventive measures against infection with the hepatitis viruses can be taken, such as washing the hands thoroughly before handling food, refraining from high-risk behavior such as sharing needles to inject illicit drugs and having unprotected sex, and avoiding blood transfusions except when absolutely essential.
www.merck.com /mmhe/sec10/ch137/ch137b.html   (789 words)

  
 Viral Hepatitis Symptoms, Causes, Diagnosis, and Treatment by MedicineNet.com
If the liver is injured (as in viral hepatitis), the liver cells spill the enzymes into the blood, raising the enzyme levels in the blood and signaling that the liver is damaged.
Since most patients with chronic hepatitis are asymptomatic (no jaundice or nausea), their mildly abnormal liver enzymes are often unexpectedly encountered on routine blood screening tests during yearly physicals or insurance physicals.
In acute viral hepatitis, antibodies not only help to eradicate the virus, but they also protect the patient from future infections by the same virus, that is the patient develops immunity.
www.medicinenet.com /viral_hepatitis/page5.htm   (868 words)

  
 Hepatitis
Although hepatitis C can be spread from a mother to her fetus during pregnancy, the risk of passing hepatitis C to the fetus isn't very high (about 5%).
Hepatitis A is usually active for a short period of time and once a person recovers, he or she can no longer pass the virus to other people.
People with hepatitis B (the percentage who don't recover completely) or hepatitis C who continue to be infected can go on to develop chronic hepatitis and cirrhosis of the liver (the chronic degeneration and disruption of the structure of the liver).
www.kidshealth.org /parent/infections/bacterial_viral/hepatitis.html   (1915 words)

  
 [No title]
Hepatitis B is targeted by WHO for reduced incidence/prevalence, by means of vaccination programs in children under 1 year of age.
Understanding the epidemiology and impact of viral hepatitis requires enhanced surveillance and an understanding of the sequelae of hepatitis B, C and D virus infection, such as asymptomatic chronic infection, chronic hepatitis, cirrhosis, and primary liver cancer.
Hepatitis vaccine is given to infants (less than one year) (and in some industrial countries to adolescents), and to special groups such as health workers, primarily to prevent the development of chronic liver disease and liver cancer.
www.paho.org /English/SHA/be_v23n2-acute_viral_hepatitis.htm   (848 words)

  
 [No title]
Hepatitis C accounts for 20% of cases of acute hepatitis, 70% of cases of chronic hepatitis, 40% of cases of end-stage cirrhosis, 60% of cases of hepatocellular carcinoma (liver cancer) and 30% of liver transplants in the United States.
The reduction in acute hepatitis B and hepatitis B-associated chronic liver disease resulting from universal infant vaccination may not become apparent for a number of years.
These guidelines describe the essential elements and best practices for conducting surveillance for viral hepatitis, and were developed based on consultation with representatives from state and local health departments who met in Atlanta in January 1999.
www.lycos.com /info/hepatitis--acute-hepatitis.html?page=3   (620 words)

  
 WHO | WHO-recommended surveillance standard of acute viral hepatitis
Measure the proportion of cases of acute viral hepatitis, chronic liver disease, cirrhosis and primary liver cancer that are hepatitis B virus or hepatitis C virus carriers to:
Differenciation of types of viral hepatitis (A to E) based on clinical diagnosis is unreliable and serological testing is necessary for accurate diagnosis.
Understanding the epidemiology and burden of disease of viral hepatitis requires an understanding of the sequelea of hepatitis B, C and D infection.
www.who.int /immunization_monitoring/diseases/hepatitis_surveillance/en/index.html   (930 words)

  
 eMedicine - Hepatitis, Viral : Article by David C Wolf, MD, FACP, FACG
Hepatitis A virus (HAV); hepatitis B virus (HBV); hepatitis C virus (HCV); hepatitis D virus (HDV), which requires coexisting HBV infection; and hepatitis E virus (HEV) cause 95% of cases of acute viral hepatitis observed in the United States.
Fulminant hepatic failure may occur in as many as 1% of cases of acute hepatitis due to hepatitis A or B. Hepatitis E is a common cause in Asia.
Approximately 90-95% of cases of acute hepatitis B in neonates, 5% of cases of acute hepatitis B in adults, and as many as 85% of cases of acute hepatitis C demonstrate histologic evolution to chronic hepatitis.
www.emedicine.com /med/topic3180.htm   (10938 words)

  
 HEPATITIS
For acute HBV infection, progression to chronicity is associated with high levels of viral replication appearing early during the acute phase of infection.
Acute liver failure is an uncommon, devastating complication of acute viral hepatitis.
Hepatitis D virus can cause a fulminant course in approximately 5% to 20% of HBV-infected patients depending on the underlying extent of liver disease, whereas HEV can cause a fulminant course in patients who are pregnant (20% incidence during the third trimester).
www.ccjm.org /hepatitis/text20.htm   (516 words)

  
 Postgraduate Medicine: Tests for acute and chronic viral hepatitis
Acute hepatitis C virus (HCV) infection is usually subclinical, but the likelihood of chronicity is high.
Hepatitis E virus (HEV) is a very unusual cause of acute hepatitis in the United States.
Inactivated hepatitis A vaccine: reactogenicity, immunogenicity, and long-term antibody persistence.
www.postgradmed.com /issues/2000/02_00/saab.htm   (2355 words)

  
 MedlinePlus Medical Encyclopedia: Hepatitis B
A short infection is known as an "acute" case of hepatitis B. Approximately 10% of people infected with the hepatitis B virus develop a chronic, life-long infection.
Hepatitis B core antibody (Anti-HBc) -- this is usually detected within 1-2 weeks of the appearance of hepatitis B surface antigen.
Both hepatitis B surface antibody and core antibody persist indefinitely in the blood of patients who have recovered from hepatitis B. Liver enzyme (transaminase) blood levels may be elevated due to liver damage.
www.nlm.nih.gov /medlineplus/ency/article/000279.htm   (1295 words)

  
 Chronic Hepatitis C: Current Disease Management   (Site not responding. Last check: 2007-10-19)
Hepatitis C is the cause of about half of cases of primary liver cancer in the developed world.
Viral levels as measured by HCV RNA do not correlate with the severity of the hepatitis or with a poor prognosis (as in HIV infection); but viral load does correlate with the likelihood of a response to antiviral therapy.
Acute hepatitis C is diagnosed on the basis of symptoms such as jaundice, fatigue, and nausea, along with marked increases in serum ALT (usually greater than 10-fold elevation), and presence of anti-HCV or de novo development of anti-HCV.
www.niddk.nih.gov /health/digest/pubs/chrnhepc/chrnhepc.htm   (7289 words)

  
 Viral Hepatitis
Hepatitis is the inflammation of the liver, resulting in liver cell damage and destruction.
This type of hepatitis is usually spread by fecal-oral contact, or fecal-infected food and water, and may also be spread by blood-borne infection (which is rare).
A hepatitis B vaccine is routinely given to toddlers as part of their immunization schedule.
medicalcenter.osu.edu /patientcare/healthinformation/diseasesandconditions/infectious/vh   (1352 words)

  
 Hepatitis (liver inflammation)
Infectious viral hepatitis such as hepatitis A, hepatitis B, hepatitis C, hepatitis D and hepatitis E. Other viral diseases such as: mononucleosis and cytomegalovirus.
There are two ways in which medicines can lead to hepatitis: it can either occur as a result of medicine poisoning through overdoses of a medicine (eg paracetamol), or it can occur as a result of an abnormal reaction of the liver to a normal dose (eg halothane, the anaesthetic).
Acute hepatitis caused by medicines or alcohol usually improves once the liver is no longer exposed to these substances.
www.netdoctor.co.uk /diseases/facts/hepatitis.htm   (1027 words)

  
 Viral Hepatitis: A Through E and Beyond   (Site not responding. Last check: 2007-10-19)
Acute hepatitis C: treatment is recommended if it does not resolve within 2 to 3 months.
People who have hepatitis B are also at risk if they have sex with a person infected with hepatitis D or if they live with an infected person.
Some cases of viral hepatitis cannot be attributed to the hepatitis A, B, C, D, or E viruses.
digestive.niddk.nih.gov /ddiseases/pubs/viralhepatitis/index.htm   (804 words)

  
 Viral Hepatitis B
Fig 94 - The hepatitis B virus: Partially double and single-stranded DNA genome enclosed in a icosahedral nucleocapsid (core antigen) of 27 nm in diameter which is surrounded by a glycoprotein envelope of 42 nm in diameter (surface antigen).
In this case of acute hepatitis B there is marked portal inflammation and periportal piecemeal necrosis with ballooned hepatocyte.
In chronic hepatitis histological examination of the liver is nacecessary in order to eastimate the the presence, activity, and extent of the liver damage,detect stigmata of different viruses, supply creteria for treatment, evaluate results of treatment and detect complications (fibrosis, cirrhosis, hepatocellular carcinoma).
www.meddean.luc.edu /lumen/MedEd/orfpath/virhepb.htm   (3305 words)

  
 ABC of diseases of liver, pancreas, and biliary system: Acute hepatitis -- Ryder and Beckingham 322 (7279): 151 -- BMJ   (Site not responding. Last check: 2007-10-19)
Acute hepatic injury is confirmed by a raised serum alanine transaminase activity.
Hepatitis can be caused by the hepatitis viruses A, B, C, D, or E. The D and E forms are rare in the United Kingdom.
Acute viral hepatitis : not a synonym of acute hepatitis
bmj.bmjjournals.com /cgi/content/full/322/7279/151   (1493 words)

  
 ABC of diseases of liver, pancreas, and biliary system: Acute hepatitis -- Ryder and Beckingham 322 (7279): 151 -- BMJ   (Site not responding. Last check: 2007-10-19)
Acute hepatic injury is confirmed by a raised serum alanine transaminase activity.
Hepatitis can be caused by the hepatitis viruses A, B, C, D, or E. The D and E forms are rare in the United Kingdom.
Acute viral hepatitis : not a synonym of acute hepatitis
www.bmj.com /cgi/content/full/322/7279/151   (1612 words)

  
 NGC - NGC Summary
Hepatitis B vaccination is indicated in high-risk occupations and for risk groups.
Hepatitis A prophylaxis is always recommended for tourists travelling to the tropics and to the African and Middle Eastern coasts of the Mediterranean.
Hepatitis E should be suspected in patients who have recently visited a developing country, and are likely to have contracted the disease by an oral route, but who have no antibodies against hepatitis A. During pregnancy hepatitis E may be fulminant and resultant maternal mortality up to 20%
www.guideline.gov /summary/summary.aspx?view_id=1&doc_id=8230   (2570 words)

  
 Cost-Effective Evaluation of Acute Viral Hepatitis American Family Physician - Find Articles
Viral hepatitis infection is a global public health concern associated with substantial morbidity and mortality.
Of the more than 500,000 cases of acute viral hepatitis diagnosed in the United States each year, 32 percent are caused by hepatitis A virus (HAV), 43 percent are caused by hepatitis B virus (HBV), 21 percent are caused by hepatitis C virus (HCV) and 4 percent are caused by unknown types.
Fulminant viral hepatitis A has a higher mortality rate and is more common in persons more than 50 or younger than 5 years of age.
www.findarticles.com /p/articles/mi_m3225/is_11_61/ai_62829284   (541 words)

  
 Viral Hepatitis   (Site not responding. Last check: 2007-10-19)
Viral hepatitis means that a person has liver inflammation due to a virus.
Hepatitis E is usually a disease that occurs in persons who travel to areas that have high rates of HEV infection.
Acute viral hepatitis is a short-term, viral infection.
www.4woman.gov /faq/hepatitis.htm   (1839 words)

  
 Hepatitis - UMMC
In most cases of acute viral hepatitis, recovery is complete and the liver returns to normal within two to eight weeks.
In a small number of cases of hepatitis B or C, the condition can be prolonged and recovery may not occur for a year.
Pregnant women with acute hepatitis B, C, or E are at higher risk for complications of acute hepatitis.
www.umm.edu /patiented/articles/how_serious_hepatitis_general_000059_3.htm   (817 words)

  
 Hepatitis A: FAQ | CDC Viral Hepatitis
Hepatitis B, diphtheria, poliovirus (oral and inactivated), tetanus, oral typhoid, cholera, Japanese encephalitis, rabies, yellow fever vaccine or immune globulin can be given at the same time that hepatitis A vaccine is given, but at a different injection site.
It is a combined hepatitis A and hepatitis B vaccine for use in persons aged 18 years and older.
Persons with chronic liver disease who have never had hepatitis A should be vaccinated, as there is a higher rate of fulminant (rapid onset of liver failure, often leading to death) hepatitis A among persons with chronic liver disease.
www.cdc.gov /ncidod/diseases/hepatitis/a/faqa.htm   (2472 words)

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