Viral Hepatitis :Causes,Symptoms,Serology,and Treatment

Contents hide

Viral Hepatitis at a glance

Important Line for MCQ and SBA	Answer
DNA Virus	Hepatitis B virus (only)
RNA Virus	Hepatitis A,C,D,E vrus
Virus act Against HIV	Hepatitis G virus (Source : Robinc Pathology)
Sexually Transmitted virus	Hepatitis A,B,C,D virus
Chronic Hepatitis Develop	Hepatitis B,C,D virus
Hepatocelular Carcinoma devlop	Hepatitis C virus
Vaccine available	Hepatitis A,B, and D virus
Vaccine not available	Hepatitis C virus
Defective Virus	Hepatitis D virus

Important topics about Viral Hepatitis

Causes of Viral Hepatitis

Traits	Acute Hepatitis	Chronic Hepatitis
Time	Less than 6 months	more than 6 months
Prodormal Feature	Present	Absent
Causes	HVA, and HVE	HBV,HVC,and HVD
Prognosis	Spontaneous Recovery	Spontaneous Recovery and or fatal to life
Complications	Chance of ARF (Acute Renal Failure)	Chance of Liver Cirrhosis and Hepatocelular Carcinoma.

acute hepatitis vs chronic hepatitis

Interpretation	HBsAg	Anti-HBcIgM	Anti-HBcIgG	Anti-HBs
Incubation Phase	Present	Present	Absent	Absent
Acute Hepatitis (early stage)	Present	Present	Absent	Absent
Acute Hepatitis (established case)	Present	Present	Present	Absent
Convalescence Period (early 3 to 6 month)	Absent	Absent or Present	Present	Present or absent
Convalescence Period (early 6 to 9 month)	Absent	Absent	present	present
After Recovery	Absent	Absent	Present	Present or Absent
After Vaccination	Absent	Absent	Absent	Present

Acute Hepatitis B virus Serology (Courtesy : Davidson Principle of Medicine)

Phase	HBsAg	HBeAg	anti-HBeAb	Viral load	ALT
Immune Tolerant	+	+	–	+++	Normal or low
Immune Reactive HBeAg Positive Chronic hepatitis	+	+	–	++	high
Inactive carrier Phase	+	–	+	-/+	Normal
HBeAg Negative Chronic Hepatitis	+	–	+	Fluctuating +/++	High/ fluctuating
HBsAg Negative Phase	–	–	+	-/(+-)	Norml

Courtesy : Box 23.41 : Davidson Principle of Medicine, 22 Edition, 951 Page