Hepatitis B differential diagnosis: Difference between revisions

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{{Hepatitis B}}
{{Hepatitis B}}
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{{CMG}}; {{AE}} {{JS}}


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==Overview==


== Differentiating Hepatitis B from other Diseases ==
==Differentiating Hepatitis B from other Diseases==
Shown below is a table that summarizes the findings that differentiate hepatitis A from other conditions that cause [[fever]], [[nausea]], [[vomiting]], [[jaundice]], [[hepatomegaly]], and icteric [[sclera]].<ref name=CDC>{{cite web | title = Hepatitis A | url = http://www.cdc.gov/hepatitis/ }}</ref>
Shown below is a table that summarizes the findings that differentiate hepatitis B from other conditions that cause [[fever]], [[nausea]], [[vomiting]], [[jaundice]], [[hepatomegaly]], and icteric [[sclera]].<ref name=CDC>{{cite web | title = Hepatitis A | url = http://www.cdc.gov/hepatitis/ }}</ref>


{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
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! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}}
! style="background: #4479BA; width: 550px;" | {{fontcolor|#FFF|Findings}}
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis B]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis A]]'''
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis A]], however, [[hepatitis B]] is a life-threatening condition caused by [[hepatitis B virus]], that may lead to the development of [[cirrhosis]] and [[liver cancer]]. [[Serologic]] testing will help differentiate these two conditions.
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis A]]
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis C]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis C]]'''
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis A]], however, [[hepatitis C]], caused by the [[hepatitis C virus]],  can cause acute and/or chronic hepatitis. [[Serologic]] testing will help differentiate these two conditions.
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis C]], caused by the [[hepatitis C virus]],  can cause acute and/or chronic hepatitis. [[Serologic]] testing will help differentiate these two conditions.
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Viral Hepatitis D]]'''
| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Viral Hepatitis D]]'''
| style="padding: 5px 5px; background: #F5F5F5;" |[[Symptoms]] are similar to the ones of [[hepatitis A]], however, [[hepatitis D]] is a serious [[liver disease]] caused by [[infection]] with the [[Hepatitis D virus]]. [[Hepatitis D]] only occurs among people who are [[infected]] with the [[Hepatitis B virus]] ([[HBV]]). It may complicate into [[cirrhosis]] and [[hepatocellular carcinoma]]. [[Serologic]] testing will help differentiate these two conditions.
| style="padding: 5px 5px; background: #F5F5F5;" |[[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis D]] is a serious [[liver disease]] caused by [[infection]] with the [[Hepatitis D virus]]. [[Hepatitis D]] only occurs among people who are [[infected]] with the [[Hepatitis B virus]] ([[HBV]]). It may complicate into [[cirrhosis]] and [[hepatocellular carcinoma]]. [[Serologic]] testing will help differentiate these two conditions.
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis E]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis E]]'''
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis A]], however, [[hepatitis E]], caused by the [[hepatitis E virus]], may complicate, in rare cases, into [[chronic hepatitis]] and [[liver failure]]. [[Serologic]] testing will help differentiate these two conditions.
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis E]], caused by the [[hepatitis E virus]], may complicate, in rare cases, into [[chronic hepatitis]] and [[liver failure]]. [[Serologic]] testing will help differentiate these two conditions.
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Alcoholic Hepatitis]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Alcoholic Hepatitis]]'''
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis A]], however, [[alcoholic hepatitis]] is related to the excessive use of [[alcohol]]. [[Alcoholic hepatitis]] presents more often with [[ascites]]. [[Alcoholic hepatitis]] often leads to [[cirrhosis]] and [[liver failure]], if alcohol use is not decreased. [[Serologic]] testing will help differentiate these two conditions. Also laboratory results show [[ALT]]<[[AST]] in [[alcoholic hepatitis]] (inverse from [[hepatitis A]], which is [[ALT]]>[[AST]]).
| style="padding: 5px 5px; background: #F5F5F5;" | [[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[alcoholic hepatitis]] is related to the excessive use of [[alcohol]]. [[Alcoholic hepatitis]] presents more often with [[ascites]]. [[Alcoholic hepatitis]] often leads to [[cirrhosis]] and [[liver failure]], if alcohol use is not decreased. [[Serologic]] testing will help differentiate these two conditions. Also laboratory results show [[ALT]]<[[AST]] in [[alcoholic hepatitis]] (inverse from [[hepatitis A]], which is [[ALT]]>[[AST]]).
|-
|-
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Autoimmune Hepatitis]]'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Autoimmune Hepatitis]]'''

Revision as of 20:42, 29 July 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Differentiating Hepatitis B from other Diseases

Shown below is a table that summarizes the findings that differentiate hepatitis B from other conditions that cause fever, nausea, vomiting, jaundice, hepatomegaly, and icteric sclera.[1]

Disease Findings
Viral Hepatitis A Symptoms are similar to the ones of hepatitis B, however, hepatitis A
Viral Hepatitis C Symptoms are similar to the ones of hepatitis B, however, hepatitis C, caused by the hepatitis C virus, can cause acute and/or chronic hepatitis. Serologic testing will help differentiate these two conditions.
Viral Hepatitis D Symptoms are similar to the ones of hepatitis B, however, hepatitis D is a serious liver disease caused by infection with the Hepatitis D virus. Hepatitis D only occurs among people who are infected with the Hepatitis B virus (HBV). It may complicate into cirrhosis and hepatocellular carcinoma. Serologic testing will help differentiate these two conditions.
Viral Hepatitis E Symptoms are similar to the ones of hepatitis B, however, hepatitis E, caused by the hepatitis E virus, may complicate, in rare cases, into chronic hepatitis and liver failure. Serologic testing will help differentiate these two conditions.
Alcoholic Hepatitis Symptoms are similar to the ones of hepatitis B, however, alcoholic hepatitis is related to the excessive use of alcohol. Alcoholic hepatitis presents more often with ascites. Alcoholic hepatitis often leads to cirrhosis and liver failure, if alcohol use is not decreased. Serologic testing will help differentiate these two conditions. Also laboratory results show ALT<AST in alcoholic hepatitis (inverse from hepatitis A, which is ALT>AST).
Autoimmune Hepatitis Autoimmune hepatitis occurs when the body's immune system attacks the hepatocytes. It often affects young females and may present with signs of acute hepatitis or chronic liver disease. Serologic testing will help differentiate these two conditions.

References

  1. ↑ "Hepatitis A".

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