Hepatitis D ultrasound: Difference between revisions
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{{Hepatitis D}} | {{Hepatitis D}} | ||
{{CMG}}; {{AOEIC}} {{VK}} | {{CMG}}; {{AOEIC}} {{VK}} | ||
==Overview== | |||
The [[ultrasound]] may be used as a [[screening]] tool in patients with [[chronic hepatitis]] for the early detection of [[hepatic cirrhosis]]. Attending to the required concomitant existance of [[HDV]] and [[HBV]], [[HBsAg]] carriers with [[cirrhosis]] should be [[ultrasound|echographically]] evaluated every 6 months. | |||
==Ultrasound== | ==Ultrasound== | ||
[[File:Cirrhosis and ascites.JPG|thumb| | The following findings may be identified:<ref name=WHO1>{{cite web | title = Hepatitis D | url = http://www.who.int/csr/disease/hepatitis/HepatitisD_whocdscsrncs2001_1.pdf }}</ref> | ||
*Coarse [[echogenicity]] | |||
< | *Segmental [[hypertrophy]] with nodular appearance of [[liver]] | ||
*[[Portal hypertension]]: | |||
:*[[Splenomegaly]] | |||
:*[[Ascites]] | |||
:*[[Pleural effusion]] | |||
[[File:Cirrhosis and ascites.JPG|thumb|center|250px|Ultrasound image demonstrating a cirrhotic liver and ascites]] | |||
[[HBsAg]] carriers should have regular serial [[serum]] [[alpha-fetoprotein]] determinations, and [[ultrasound]] examinations (with 6 month intervals) for those above 40 years of age.<ref name=WHO1>{{cite web | title = Hepatitis B | url = http://www.who.int/csr/disease/hepatitis/whocdscsrlyo20022/en/index3.html }}</ref> | |||
Both these tests are recommended to be repeated regularly for all [[HBsAg]] carriers with [[cirrhosis]].<ref name=WHO1>{{cite web | title = Hepatitis D | url = http://www.who.int/csr/disease/hepatitis/HepatitisD_whocdscsrncs2001_1.pdf }}</ref> | |||
[[File:HCC ultrasound1.png|thumb|center|250px|Large HCC filling portion of the right lobe]] | |||
== References == | == References == | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 00:13, 4 August 2014
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Hepatitis D |
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Diagnosis |
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Treatment |
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Hepatitis D ultrasound On the Web |
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American Roentgen Ray Society Images of Hepatitis D ultrasound |
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Risk calculators and risk factors for Hepatitis D ultrasound |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]
Overview
The ultrasound may be used as a screening tool in patients with chronic hepatitis for the early detection of hepatic cirrhosis. Attending to the required concomitant existance of HDV and HBV, HBsAg carriers with cirrhosis should be echographically evaluated every 6 months.
Ultrasound
The following findings may be identified:[1]
- Coarse echogenicity
- Segmental hypertrophy with nodular appearance of liver
- Portal hypertension:
HBsAg carriers should have regular serial serum alpha-fetoprotein determinations, and ultrasound examinations (with 6 month intervals) for those above 40 years of age.[1]
Both these tests are recommended to be repeated regularly for all HBsAg carriers with cirrhosis.[1]
References
- ↑ 1.0 1.1 1.2 "Hepatitis D" (PDF).