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Hepatitis Simple review
Based on Kufa university / medical collage –
Infection & Immunity module lecture
KufamedSt@gmail.com
Our Website
KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST
Hepatitis
Hepatitis is an inflammation of the liver. The condition can be self-limiting or can
progress to fibrosis (scarring), cirrhosis or liver cancer. Hepatitis viruses are the most
common cause of hepatitis in the world but other infections, toxic substances (e.g.
alcohol, certain drugs), and autoimmune diseases can also cause hepatitis.(By WHO )
There are 5 main hepatitis viruses, referred to as types A, B, C, D and E.
HAV
is present in the faeces of infected persons and is most often transmitted through
consumption of contaminated water or food.
Lab. Tests
 IgM HAV : Standard for acute infection
HBV
 Is double stranded DNA Virus
 HBcAg= core antigen
 HBsAg= Surface antigen
 HBeAg= nucleocapsid antigen
Transmission
KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST
Acute HBV
 Asymptomatic or ‘flu-like’ symptoms
 Jaundice: 20% of patients
 Recovery normally takes 6 to 12 weeks after the onset of illness
Lab. Tests
 HBsAg ( If Positive – patient is contagious . May present in chronic )
 Ant-HBcAg ( IgM antibody ) *Appear early
 ELISA & RIAs (Enzyme-linked immunosorbent assays & radioimmunoassays )
 HBeAg un detectable due to presence of anit- HBeAg
Note: If the surface antigen (HBsAg) and/or DNA test is positive, the carrier is
contagious.
Treatment
 Bed rest
 Eat a healthy diet
Chronic HBV
 Lasting longer than 6 months
 25% of HBV carriers develop liver disease
 Cirrhosis and Liver enlargement
 Can lead to Liver Cancer (Hepatocellular carcinoma)
Lab. Tests
 ELISA & RIAs (Enzyme-linked immunosorbent assays & radioimmunoassays )
 Real-Time PCR
 HBsAg ( If Positive – patient is contagious . May present in Acute )
 HBeAg (indicates viral replication)
Note: If the surface antigen (HBsAg) and/or DNA test is positive, the carrier is
contagious.
KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST
Treatment
Antiviral therapy to inhibit steps of viral genome replication , Reduce the risk of
hepatocelluar carcinoma and viral load .
 Viral polymerase inhibitors
Lamivudine= Nucleoside analog incorporate into viral DNA.
Adefovir Dipivoxil = Nucleotide analog. It works by slowing the growth of the
virus. It is not a cure for hepatitis B.
 Pegylated interferon alpha
HCV
 (-) SS RNA Enveloped
 Family Flaviviridae
 High replication rate
Acute HCV
 Last for 6 months
 20-30% will clear the virus and won’t
develop chronic
 Symptoms : flu like symptoms & 
KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST
Chronic HCV
 Last longer than 6 months
 Can cause cirrhosis, liver failure & Hepatic encephalopathy
 Pts 20-40 are at higher risk to develop liver cancer
 Same acute HCV symptoms but more severity
Lab. Tests
 Anti-HCV test: Detect antibodies.
 HCV-RNA test: Identifies virus in the blood.
 Viral Load test: Measure viral RNA in particles in the blood
 Viral genotyping: Determine the kind of virus present.
Treatment
Pegylated interferon alpha & Ribavirin (guanosine analog for Virus RNA )
……………………………………………………………………………………………..

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Hepatitis simple review by kufamedst

  • 1. Hepatitis Simple review Based on Kufa university / medical collage – Infection & Immunity module lecture KufamedSt@gmail.com Our Website
  • 2. KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST Hepatitis Hepatitis is an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer. Hepatitis viruses are the most common cause of hepatitis in the world but other infections, toxic substances (e.g. alcohol, certain drugs), and autoimmune diseases can also cause hepatitis.(By WHO ) There are 5 main hepatitis viruses, referred to as types A, B, C, D and E. HAV is present in the faeces of infected persons and is most often transmitted through consumption of contaminated water or food. Lab. Tests  IgM HAV : Standard for acute infection HBV  Is double stranded DNA Virus  HBcAg= core antigen  HBsAg= Surface antigen  HBeAg= nucleocapsid antigen Transmission
  • 3. KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST Acute HBV  Asymptomatic or ‘flu-like’ symptoms  Jaundice: 20% of patients  Recovery normally takes 6 to 12 weeks after the onset of illness Lab. Tests  HBsAg ( If Positive – patient is contagious . May present in chronic )  Ant-HBcAg ( IgM antibody ) *Appear early  ELISA & RIAs (Enzyme-linked immunosorbent assays & radioimmunoassays )  HBeAg un detectable due to presence of anit- HBeAg Note: If the surface antigen (HBsAg) and/or DNA test is positive, the carrier is contagious. Treatment  Bed rest  Eat a healthy diet Chronic HBV  Lasting longer than 6 months  25% of HBV carriers develop liver disease  Cirrhosis and Liver enlargement  Can lead to Liver Cancer (Hepatocellular carcinoma) Lab. Tests  ELISA & RIAs (Enzyme-linked immunosorbent assays & radioimmunoassays )  Real-Time PCR  HBsAg ( If Positive – patient is contagious . May present in Acute )  HBeAg (indicates viral replication) Note: If the surface antigen (HBsAg) and/or DNA test is positive, the carrier is contagious.
  • 4. KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST Treatment Antiviral therapy to inhibit steps of viral genome replication , Reduce the risk of hepatocelluar carcinoma and viral load .  Viral polymerase inhibitors Lamivudine= Nucleoside analog incorporate into viral DNA. Adefovir Dipivoxil = Nucleotide analog. It works by slowing the growth of the virus. It is not a cure for hepatitis B.  Pegylated interferon alpha HCV  (-) SS RNA Enveloped  Family Flaviviridae  High replication rate Acute HCV  Last for 6 months  20-30% will clear the virus and won’t develop chronic  Symptoms : flu like symptoms & 
  • 5. KMS Team KUFAMEDST Kufa Medical Students © 2023 by KUFA MED.ST Chronic HCV  Last longer than 6 months  Can cause cirrhosis, liver failure & Hepatic encephalopathy  Pts 20-40 are at higher risk to develop liver cancer  Same acute HCV symptoms but more severity Lab. Tests  Anti-HCV test: Detect antibodies.  HCV-RNA test: Identifies virus in the blood.  Viral Load test: Measure viral RNA in particles in the blood  Viral genotyping: Determine the kind of virus present. Treatment Pegylated interferon alpha & Ribavirin (guanosine analog for Virus RNA ) ……………………………………………………………………………………………..