Hepatitis

Question 1

Definition

Answer 1

Inflammation of the liver

Question 2

Hep A.

Answer 2

• Enteric virus
• Detected through presence of IgM antibodies
• Vaccine available- give to: travellers, occupational exposure, patients with CLD,

Question 3

Hep B.

Answer 3

-Parental virus
-Antigens:
HB core antigen, HB surface antigen, HB DNA , HB e antigen
-Antibodies:
Anti HBS
Anti IgG HBC
Anti IgM HBC
Anti HB e
-If chronic can lead to hepatocellular carcinoma/ end stage disease
-Treatment: oral antivirus/ pegylrated interferon

Question 4

Hep c.

Answer 4

• Parental virus
• 10% Present with Asymptomatic jaundice
• 85% present with Cirrhosis

Question 5

Hep D.

Answer 5

• Parental virus

- Delta virus is a small RNA virus

Question 6

Hep E.

Answer 6

-Enteric virus
Up until recently believed to be characteristic of third world countries
Now number one cause of hepatitis admissions in Scotland