Hepatitis D history and symptoms: Difference between revisions

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== History==
== History==
Part of the initial evaluation for HBV infection includes a thorough patient history focusing on potential modes and timing of infection.  Aspects covered in the patient's history include:<ref name="pmid19399815">{{cite journal| author=Rotman Y, Brown TA, Hoofnagle JH| title=Evaluation of the patient with hepatitis B. | journal=Hepatology | year= 2009 | volume= 49 | issue= 5 Suppl | pages= S22-7 | pmid=19399815 | doi=10.1002/hep.22976 | pmc=PMC2881483 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19399815  }} </ref>
*Exposure to blood and/or blood products
*[[Intravenous drug use|Injection drug use]]([[IDU]])
*Sexual exposure
*Occupational exposure
*Family history of HBV
*Recent history of invasive procedures performed in non-hospital health care settings, including [[hemodialysis]] centers and long-term care facilities<ref name="pmid19124818">{{cite journal| author=Thompson ND, Perz JF, Moorman AC, Holmberg SD| title=Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998-2008. | journal=Ann Intern Med | year= 2009 | volume= 150 | issue= 1 | pages= 33-9 | pmid=19124818 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19124818  }} </ref>
===Chronic HDV===
In chronic HDV, history taking includes obtaining information regarding factors associated with the progression of HBV-related [[liver disease]].<ref name="pmid19714720">{{cite journal| author=Lok AS, McMahon BJ| title=Chronic hepatitis B: update 2009. | journal=Hepatology | year= 2009 | volume= 50 | issue= 3 | pages= 661-2 | pmid=19714720 | doi=10.1002/hep.23190 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19714720  }} </ref>  The following aspects should be covered:<ref name="pmid19714720">{{cite journal| author=Lok AS, McMahon BJ| title=Chronic hepatitis B: update 2009. | journal=Hepatology | year= 2009 | volume= 50 | issue= 3 | pages= 661-2 | pmid=19714720 | doi=10.1002/hep.23190 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19714720  }} </ref><ref name="pmid19399815">{{cite journal| author=Rotman Y, Brown TA, Hoofnagle JH| title=Evaluation of the patient with hepatitis B. | journal=Hepatology | year= 2009 | volume= 49 | issue= 5 Suppl | pages= S22-7 | pmid=19399815 | doi=10.1002/hep.22976 | pmc=PMC2881483 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19399815  }} </ref>
*Risk factors for [[coinfection]] with [[HDV]], [[HCV]], and [[HIV]]
*Family history of [[liver disease]] and [[HCC]]
*Medication history
*Smoking status
*Alcohol consumption
*[[Drug abuse]]
*Sexual activity
*History of previous [[HBV]] treatment (to assess potential for treatment resistance)
*[[Antiretroviral]] drug regimen if coinfected with [[HIV]](to assess potential for treatment resistance)
===Patients from Areas of High Endemicity===
History taking among immigrants from regions with a high prevalence of HBV should include questions regarding family history of acute and/or [[chronic liver disease]], rituals in which shared and [[non-sterile]] instruments were used such as scarification and piercing, and traditional medical procedures.<ref name="pmid19399815">{{cite journal| author=Rotman Y, Brown TA, Hoofnagle JH| title=Evaluation of the patient with hepatitis B. | journal=Hepatology | year= 2009 | volume= 49 | issue= 5 Suppl | pages= S22-7 | pmid=19399815 | doi=10.1002/hep.22976 | pmc=PMC2881483 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19399815  }} </ref>
Symptoms of hepatitis D are similar to those of hepatitis B. The onset of symptoms is usually abrupt, and jaundice usually develops after the symptoms have disappeared.
Symptoms of hepatitis D are similar to those of hepatitis B. The onset of symptoms is usually abrupt, and jaundice usually develops after the symptoms have disappeared.


Revision as of 02:12, 11 August 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Varun Kumar, M.B.B.S. [2]; João André Alves Silva, M.D. [3] Jolanta Marszalek, M.D. [4]

Overview

History

Part of the initial evaluation for HBV infection includes a thorough patient history focusing on potential modes and timing of infection. Aspects covered in the patient's history include:[1]

  • Exposure to blood and/or blood products
  • Injection drug use(IDU)
  • Sexual exposure
  • Occupational exposure
  • Family history of HBV
  • Recent history of invasive procedures performed in non-hospital health care settings, including hemodialysis centers and long-term care facilities[2]

Chronic HDV

In chronic HDV, history taking includes obtaining information regarding factors associated with the progression of HBV-related liver disease.[3] The following aspects should be covered:[3][1]

  • Risk factors for coinfection with HDV, HCV, and HIV
  • Family history of liver disease and HCC
  • Medication history
  • Smoking status
  • Alcohol consumption
  • Drug abuse
  • Sexual activity
  • History of previous HBV treatment (to assess potential for treatment resistance)
  • Antiretroviral drug regimen if coinfected with HIV(to assess potential for treatment resistance)

Patients from Areas of High Endemicity

History taking among immigrants from regions with a high prevalence of HBV should include questions regarding family history of acute and/or chronic liver disease, rituals in which shared and non-sterile instruments were used such as scarification and piercing, and traditional medical procedures.[1]


Symptoms of hepatitis D are similar to those of hepatitis B. The onset of symptoms is usually abrupt, and jaundice usually develops after the symptoms have disappeared.

Symptoms

References

  1. ↑ 1.0 1.1 1.2 Rotman Y, Brown TA, Hoofnagle JH (2009). "Evaluation of the patient with hepatitis B." Hepatology. 49 (5 Suppl): S22–7. doi:10.1002/hep.22976. PMC 2881483. PMID 19399815.
  2. ↑ Thompson ND, Perz JF, Moorman AC, Holmberg SD (2009). "Nonhospital health care-associated hepatitis B and C virus transmission: United States, 1998-2008". Ann Intern Med. 150 (1): 33–9. PMID 19124818.
  3. ↑ 3.0 3.1 Lok AS, McMahon BJ (2009). "Chronic hepatitis B: update 2009". Hepatology. 50 (3): 661–2. doi:10.1002/hep.23190. PMID 19714720.

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