Hepatitis B differential diagnosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
Line 7: Line 7:


==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="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><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>
The table below 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="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><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>
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|+
|+

Revision as of 17:35, 18 October 2016

Hepatitis Main Page

Hepatitis B

Home

Patient Information

Overview

Historical Perspective

Pathophysiology

Causes

Differentiating Hepatitis B from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

History and Symptoms

Physical Examination

Laboratory Findings

CT

MRI

Ultrasound

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hepatitis B differential diagnosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hepatitis B differential diagnosis

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hepatitis B differential diagnosis

CDC on Hepatitis B differential diagnosis

Hepatitis B differential diagnosis in the news

Blogs on Hepatitis B differential diagnosis

Directions to Hospitals Treating Hepatitis B

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, and elevated AST, such as other types of viral hepatitis, alcoholic hepatitis, and autoimmune hepatitis.[1][2][3][4]

Differentiating Hepatitis B from other Diseases

The table below 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][8]

Disease Findings
Viral Hepatitis A
  • Abrupt onset of prodromal symptoms
  • Detectable serum immunoglobulin M (IgM) anti-HAV antibodies
  • Hepatitis, caused by the hepatitis A virus, produces a self-limited disease
Viral Hepatitis C
Viral Hepatitis D
Viral Hepatitis E
Alcoholic Hepatitis
Autoimmune Hepatitis

References

  1. 1.0 1.1 Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016
  2. 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. 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. 4.0 4.1 Krawitt EL (2006). "Autoimmune hepatitis". N Engl J Med. 354 (1): 54–66. doi:10.1056/NEJMra050408. PMID 16394302.
  5. Centers for Disease Control and Prevention. Viral Hepatitis http://www.cdc.gov/hepatitis/ Accessed on October 4th, 2016
  6. 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
  7. 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
  8. 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.

Template:STD/STI

Template:WH Template:WS