Hepatitis B differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis E]]''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Viral Hepatitis E]]''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*[[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis E]] | *[[Symptoms]] are similar to the ones of [[hepatitis B]], however, [[hepatitis E]] may complicate into [[chronic hepatitis]] and [[liver failure]] in rare cases | ||
*Detectable IgM antibodies to HEV or HEV in serum or stool by [[polymerase chain reaction|polymerase chain reaction (PCR)]] | |||
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| 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 B]], however, [[alcoholic hepatitis]] is related to the excessive use of [[alcohol]] | | 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]] | |||
*Often leads to [[cirrhosis]] and [[liver failure]] | |||
*Moderately elevated [[aminotransferases]] (typically <300 int. unit/mL) | |||
*[[ALT]]<[[AST]] in [[alcoholic hepatitis]] (inverse from [[viral hepatitis]], which is [[ALT]]>[[AST]]) | |||
*Elevated serum [[bilirubin]] (>5 mg/dL), elevated [[INR]], and possible [[leukocytosis]] | |||
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| style="padding: 5px 5px; background: #DCDCDC;" | '''[[Autoimmune Hepatitis]]''' | | style="padding: 5px 5px; background: #DCDCDC;" | '''[[Autoimmune Hepatitis]]''' | ||
Revision as of 18:56, 10 October 2016
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Hepatitis B |
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Diagnosis |
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Treatment |
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Case Studies |
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Hepatitis B differential diagnosis On the Web |
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American Roentgen Ray Society Images of Hepatitis B differential diagnosis |
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Risk calculators and risk factors for Hepatitis B differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Hepatitis B must be differentiated from other diseases that cause fever, nausea, vomiting, jaundice, hepatomegaly, icteric sclera, elevated ALT, AST, such as other viral hepatitis, alcoholic hepatitis, and autoimmune hepatitis.[1][2][3]
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][2][3][4][5][6][7]
| Disease | Findings |
|---|---|
| Viral Hepatitis A |
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| Viral Hepatitis C |
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| Viral Hepatitis D |
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| Viral Hepatitis E |
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| Alcoholic Hepatitis |
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| 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
- ↑ 1.0 1.1 Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016
- ↑ 2.0 2.1 Cohen JA, Kaplan MM (1979). "The SGOT/SGPT ratio--an indicator of alcoholic liver disease". Dig Dis Sci. 24 (11): 835–8. PMID 520102.
- ↑ 3.0 3.1 Williams AL, Hoofnagle JH (1988). "Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis". Gastroenterology. 95 (3): 734–9. PMID 3135226.
- ↑ Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016
- ↑ World Health Organization, Guidelines for the screening care and treatment of persons with hepatitis C infection. (2015). http://apps.who.int/iris/bitstream/10665/111747/1/9789241548755_eng.pdf?ua=1&ua=1 Accessed on October 5th, 2016
- ↑ Centers for Disease Control and Prevention. MMWR. Prevention of Hepatitis A Through Active or Passive Immunization Recommendations of the Advisory Committee on Immunization Practices (ACIP) (2006). http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5507a1.htmAccessed on October 5th, 2016
- ↑ Buti M, Esteban R, Jardi R, Rodriguez-Frias F, Casacuberta J, Esteban JI; et al. (1989). "Chronic delta hepatitis: detection of hepatitis delta virus antigen in serum by immunoblot and correlation with other markers of delta viral replication". Hepatology. 10 (6): 907–10. PMID 2583685.