Hepatitis D other diagnostic studies
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Hepatitis D |
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Diagnosis |
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Treatment |
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Hepatitis D other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Hepatitis D other diagnostic studies |
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Risk calculators and risk factors for Hepatitis D other diagnostic studies |
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
Other Diagnostic Studies
Liver Biopsy:
Liver transplant is the only remaining treatment option for patients with liver failure, who are not candidates for treatment with interferon-alpha. The outcome of liver tranplant in patients with hepatitis D is good.
- Liver biopsy is not routinely indicated in diagnosis of acute hepatitis D unless the serologic diagnosis of hepatitis is inconclusive. However, liver biopsy is indicated in chronic liver disease to evaluate for cirrhosis or fibrosis.
- Histopathologic findings are similar to that observed in HBV infection. Acidophilic cytoplasm in hepatocytes with lymphocytic infiltrates may be observed.
- Immunohistochemical staining may be positive for HDV antigen with suppression of HBsAg in case of superinfection.
Endoscopy
- Patients with liver cirrhosis should be evaluated for the presence of esophageal varices.[1]
References
- ↑ Heidrich B, Manns MP, Wedemeyer H (2013). "Treatment options for hepatitis delta virus infection". Curr Infect Dis Rep. 15 (1): 31–8. doi:10.1007/s11908-012-0307-z. PMID 23242761.