Hepatitis B differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hepatitis B}} | {{Hepatitis B}} | ||
{{CMG}}; {{AE}} {{JS}} | {{CMG}}; {{AE}} {{JS}}; {{SaraM}} | ||
==Overview== | ==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]].<ref name=CDC-Viral-Hepatitis>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name="pmid520102">{{cite journal| author=Cohen JA, Kaplan MM| title=The SGOT/SGPT ratio--an indicator of alcoholic liver disease. | journal=Dig Dis Sci | year= 1979 | volume= 24 | issue= 11 | pages= 835-8 | pmid=520102 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=520102 }} </ref><ref name="pmid3135226">{{cite journal| author=Williams AL, Hoofnagle JH| title=Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis. | journal=Gastroenterology | year= 1988 | volume= 95 | issue= 3 | pages= 734-9 | pmid=3135226 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3135226 }} </ref> | [[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]].<ref name=CDC-Viral-Hepatitis>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name="pmid520102">{{cite journal| author=Cohen JA, Kaplan MM| title=The SGOT/SGPT ratio--an indicator of alcoholic liver disease. | journal=Dig Dis Sci | year= 1979 | volume= 24 | issue= 11 | pages= 835-8 | pmid=520102 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=520102 }} </ref><ref name="pmid3135226">{{cite journal| author=Williams AL, Hoofnagle JH| title=Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis. | journal=Gastroenterology | year= 1988 | volume= 95 | issue= 3 | pages= 734-9 | pmid=3135226 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3135226 }} </ref><ref name="pmid16394302">{{cite journal| author=Krawitt EL| title=Autoimmune hepatitis. | journal=N Engl J Med | year= 2006 | volume= 354 | issue= 1 | pages= 54-66 | pmid=16394302 | doi=10.1056/NEJMra050408 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16394302 }} </ref> | ||
==Differentiating Hepatitis B from other Diseases== | ==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]].<ref name=CDC-Viral-Hepatitis>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name="pmid520102">{{cite journal| author=Cohen JA, Kaplan MM| title=The SGOT/SGPT ratio--an indicator of alcoholic liver disease. | journal=Dig Dis Sci | year= 1979 | volume= 24 | issue= 11 | pages= 835-8 | pmid=520102 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=520102 }} </ref><ref name="pmid3135226">{{cite journal| author=Williams AL, Hoofnagle JH| title=Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis. | journal=Gastroenterology | year= 1988 | volume= 95 | issue= 3 | pages= 734-9 | pmid=3135226 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3135226 }} </ref><ref name=CDC>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name=WHO-Guideline-Hepatitis-c> 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</ref><ref name=CDC-HAV> 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</ref><ref name="pmid2583685">{{cite journal| author=Buti M, Esteban R, Jardi R, Rodriguez-Frias F, Casacuberta J, Esteban JI et al.| title=Chronic delta hepatitis: detection of hepatitis delta virus antigen in serum by immunoblot and correlation with other markers of delta viral replication. | journal=Hepatology | year= 1989 | volume= 10 | issue= 6 | pages= 907-10 | pmid=2583685 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2583685 }} </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-Viral-Hepatitis>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name="pmid520102">{{cite journal| author=Cohen JA, Kaplan MM| title=The SGOT/SGPT ratio--an indicator of alcoholic liver disease. | journal=Dig Dis Sci | year= 1979 | volume= 24 | issue= 11 | pages= 835-8 | pmid=520102 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=520102 }} </ref><ref name="pmid3135226">{{cite journal| author=Williams AL, Hoofnagle JH| title=Ratio of serum aspartate to alanine aminotransferase in chronic hepatitis. Relationship to cirrhosis. | journal=Gastroenterology | year= 1988 | volume= 95 | issue= 3 | pages= 734-9 | pmid=3135226 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3135226 }} </ref><ref name=CDC>Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016</ref><ref name=WHO-Guideline-Hepatitis-c> 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</ref><ref name=CDC-HAV> 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</ref><ref name="pmid2583685">{{cite journal| author=Buti M, Esteban R, Jardi R, Rodriguez-Frias F, Casacuberta J, Esteban JI et al.| title=Chronic delta hepatitis: detection of hepatitis delta virus antigen in serum by immunoblot and correlation with other markers of delta viral replication. | journal=Hepatology | year= 1989 | volume= 10 | issue= 6 | pages= 907-10 | pmid=2583685 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2583685 }} </ref><ref name="pmid16394302">{{cite journal| author=Krawitt EL| title=Autoimmune hepatitis. | journal=N Engl J Med | year= 2006 | volume= 354 | issue= 1 | pages= 54-66 | pmid=16394302 | doi=10.1056/NEJMra050408 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16394302 }} </ref> | ||
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Revision as of 19:07, 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]; Sara Mehrsefat, M.D. [3]
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][4]
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][5][6][7][8][4]
| 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 |
|
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.
- ↑ 4.0 4.1 Krawitt EL (2006). "Autoimmune hepatitis". N Engl J Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
- ↑ 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.