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==Overview==
==Overview==


'''Hepatitis B''' is an [[inflammation]] of the [[liver]] and is caused by the ''Hepatitis B virus'' (HBV), a member of the [[Hepadnaviridae|Hepadnavirus family]]<ref name=Baron>{{cite book | author = Zuckerman AJ | title = Hepatitis Viruses. ''In:'' Baron's Medical Microbiology ''(Baron S ''et al'', eds.)| edition = 4th ed. | publisher = Univ of Texas Medical Branch | year = 1996 | url = http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=mmed.section.3738 | id = ISBN 0-9631172-1-1 }}</ref> and one of hundreds of unrelated viral species which cause [[Hepatitis#Viral|viral hepatitis]]. It was originally known as "serum hepatitis" and has caused current [[epidemic]]s in parts of Asia and Africa.<ref name=Sherris>{{cite book | author = Ryan KJ; Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th ed. | pages = pp. 544&ndash;51 | publisher = McGraw Hill | year = 2004 | id = ISBN 0-8385-8529-9 }}</ref> Hepatitis B is recognized as [[endemic (epidemiology)|endemic]] in [[Hepatitis B in China|China]] and various other parts of Asia.<ref name=MBOC>{{cite book | author = Alberts B, Johnson A, Lewis J, Raff M, Roberts K, Walter P | title = Molecular Biology of the Cell | edition = 4th | publisher = Garland | year = 2002 | id = [http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Search&db=books&doptcmdl=GenBookHL&term=Hepatitis+B+AND+mboc4%5Bbook%5D+AND+374890%5Buid%5D&rid=mboc4.section.4294#4302 (via NCBI Bookshelf)] ISBN 0-8153-3218-1}}</ref> The proportion of the world's population currently infected with the [[virus]] is 3 to 6%, but up to a third have been exposed. Symptoms of the acute illness caused by the virus include liver inflammation, vomiting, [[jaundice]], and rarely, death.  Chronic hepatitis B may cause liver [[cirrhosis]] which may then lead to [[hepatoma|liver cancer]], a fatal disease with very poor response to current chemotherapy.
Hepatitis B virus(HBV) is a double stranded DNA virus belonging to the family Hepadnaviridae. It is responsible for hepatitis B virus infection in humans that attacks the liver and causes both acute and chronic disease.
 
==Historical Perspective==
The earliest record of an epidemic caused by HBV was made by Lurman in 1885 after an outbreak of smallpox led to the vaccintation of shipyard employees with lymph from other people. Weeks to months later, some of the workers became ill with jaundice and were diagnosed as suffering from serum hepatitis while others, inoculated with different batches of lymph, remained healthy. Lurman's paper, now regarded as a classic example of an epidemiological study, proved that contaminated lymph was the source of the outbreak. Similar outbreaks of serum hepatitis were reported following the introduction of hypodermic needles in 1909. The virus itself was not discovered until 1965 by Baruch Blumberg, who identified the Australia antigen(later known to be hepatitis B surface antigen or HBsAg) in blood collected from Australian aborigines. The virus particle was identified in 1970 with electron microscopy by D.S. Dane and others. By the early 1980's the virus' genome had been sequenced and in 1982, a vaccine against HBV was available.
==Pathophysiology==
==Causes==
==Differentiating Hepatitis B from other Diseases==
==Epidemiology and Demographics==


Hepatitis B usually gets better on its own after a few months.<ref>[http://www.nlm.nih.gov/medlineplus/hepatitisb.html Hepatitis B MedlinePlus article]</ref>  It may, however, cause a more serious chronic infection.
==Risk Factors==
==Screening==
==Natural History, Complications and Prognosis==
==Treatment==


==Treatment==
==Treatment==

Revision as of 03:47, 1 August 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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 overview On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hepatitis B overview

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 overview

CDC on Hepatitis B overview

Hepatitis B overview in the news

Blogs on Hepatitis B overview

Directions to Hospitals Treating Hepatitis B

Risk calculators and risk factors for Hepatitis B overview

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Overview

Hepatitis B virus(HBV) is a double stranded DNA virus belonging to the family Hepadnaviridae. It is responsible for hepatitis B virus infection in humans that attacks the liver and causes both acute and chronic disease.

Historical Perspective

The earliest record of an epidemic caused by HBV was made by Lurman in 1885 after an outbreak of smallpox led to the vaccintation of shipyard employees with lymph from other people. Weeks to months later, some of the workers became ill with jaundice and were diagnosed as suffering from serum hepatitis while others, inoculated with different batches of lymph, remained healthy. Lurman's paper, now regarded as a classic example of an epidemiological study, proved that contaminated lymph was the source of the outbreak. Similar outbreaks of serum hepatitis were reported following the introduction of hypodermic needles in 1909. The virus itself was not discovered until 1965 by Baruch Blumberg, who identified the Australia antigen(later known to be hepatitis B surface antigen or HBsAg) in blood collected from Australian aborigines. The virus particle was identified in 1970 with electron microscopy by D.S. Dane and others. By the early 1980's the virus' genome had been sequenced and in 1982, a vaccine against HBV was available.

Pathophysiology

Causes

Differentiating Hepatitis B from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Treatment

Treatment

Surgery

The treatment of hepatitis B usually involves no surgical procedures. However, among patients with advanced liver damage secondary to HBV infection or liver failure in fulminant hepatitis, liver transplantation may be beneficial.

References

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