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Hepatitis B.
Authors
Tripathi N1, Mousa OY2.
Source
StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020-.
2020 Mar 12.
Author information
Excerpt
Hepatitis B viral infection is a serious global healthcare problem. It is a potentially life-threatening liver infection caused by the hepatitis B virus (HBV). It is often transmitted via body fluids like blood, semen, and vaginal secretions. The majority (>95%) of immunocompetent adults infected with HBV can clear the infection spontaneously. Patients can present with acute symptomatic disease or have an asymptomatic infection that is identified during screening for HBV. The clinical manifestations of HBV infection vary in both acute and chronic diseases. During the acute infection, patients can have subclinical or anicteric hepatitis, icteric hepatitis, or less commonly fulminant hepatitis. In chronic infection, patients can have an asymptomatic carrier state, chronic hepatitis, cirrhosis, and hepatocellular carcinoma. Initial symptoms are nonspecific and may include anorexia, nausea, vomiting, abdominal pain, and jaundice. In cases of severe liver damage, patients can develop jaundice, hepatic encephalopathy, ascites, gastrointestinal bleeding secondary to esophageal varices, coagulopathy, or infections. Diagnosis is based on serologic blood tests in patients with suspected signs and symptoms and associated risk factors for viral hepatitis. This will be discussed in more detail below.
Copyright © 2020, StatPearls Publishing LLC.
Sections
Introduction
Etiology
Epidemiology
Pathophysiology
Histopathology
History and Physical
Evaluation
Treatment / Management
Differential Diagnosis
Prognosis
Complications
Consultations
Deterrence and Patient Education
Pearls and Other Issues
Enhancing Healthcare Team Outcomes
Questions
References
PMID:
32310405
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