Viral hepatitis Flashcards
Hepatitis A belongs to this viral family
Picornavirus
This hepatitis virus belongs to the Picornavirus family
Hepatitis A
What is the route of transmission for Hepatitis A?
Fecal-oral
epidemics frequent
Do most cases of Hepatitis A resolve?
Yes - almost always a self-limited infection
Is there chronic Hepatitis A?
No
Rash, leukocytoclastic vasculitis, arthralgias, and glomerulonephritis are extrahepatic symptoms of these two hepatitis viruses
Hepatitis A and B
This is used to diagnose active infection with Hepatitis A
IgM
Hepatitis B belongs to this viral family
Hepadnavirus
This hepatitis virus belongs to the Hepadnavirus family
Hepatitis B
This hepatitis virus is considered highly infectious
Hepatitis B
This hepatitis virus is the most common cause of chronic liver disease and hepatocellular carcinoma
Hepatitis B
This hepatitis virus is an endemic in SE Asia, China, Africa
Hepatitis B
Perinatal transmission may occur with these two hepatitis viruses
Hepatitis B and C
Is there chronic Hepatitis B?
Yes - is age dependent (95% of perinatal infections become chronic)
Is perinatal infection or adult infection with Hepatitis B more likely to become chronic?
Perinatal
95% become chronic
Are most cases of Hepatitis B asymptomatic?
Yes (70%)
25% of patients with chronic hepatitis with this virus develop cirrhosis with risk of hepatocellular carcinoma
Hepatitis B
This serologic marker for Hepatitis B indicates transmissible infection
sAg (surface Ag)
This serologic marker for Hepatitis B is best for acute infection (window period)
IgM anti HepBc (core Ag)
This serologic marker for Hepatitis B indicates immunity
Anti-sAg
This serologic marker for Hepatitis B increases with increasing transmissibility
eAg
This serologic marker for Hepatitis B correlates with decreased viremia/transmission
eAb
In Hepatitis B serology, sAg indicates this
Transmissible infection
In Hepatitis B serology, IgM anti HepBc indicates this
Acute infection (window period)
In Hepatitis B serology, anti-sAg indicates this
Immunity
In Hepatitis B serology, eAg indicates this
Transmissibility
(increases with increasing transmissibility)
In Hepatitis B serology, eAb indicates this
Correlates with decreased viremia/transmission
This test is used to assess treatment or risk of progression of hepatitis B
DNA PCR
Hepatitis C belong to this viral family
Flavivirus
This hepatitis virus belongs to the flavivirus family
Hepatitis C
Transmission of Hepatitis C is this
Parenteral
(IV drug use, occupation exposure, transfusion, partuition, sexual)
This is the most common cause of chronic viral hepatitis
Hepatitis C
Is there chronic infection with Hepatitis C?
Yes - most infections become chronic and persistent
Do acute infections with Hepatitis C cause severe disease?
No
In Hepatitis C with recovery, is PCR positive or negative?
Negative
Is Hepatitis C PCR positive in chronic infection?
Yes - remains positive
In Hepatitis C, disease activity tends to fluctuate, and correlates with this
AST/ALT
Life cycle of this hepatitis virus depends on HepB presence
Hepatitis D
Life cycle of Hepatitis D depends on the presence of this
HepB
Transmission of Hepatitis D is this
Parenteral
This hepatitis virus is enterically transmitted and zoonotic
Hepatitis E
Infection with this hepatitis virus is associated with travel to Asia, India, Africa
Infection is self-limited
Hepatitis E
Is there chronic Hepatitis E infection?
No
Hepatitis E has risk of fulminant hepatitis in this patient population
Pregnant women
The average incubation period of Hepatitis E is this many days
40 days
Does Hepatitis E illness severity increase or decrease with age?
Increases
Is there portal lymphocyte inflammation in viral hepatitis?
Yes
(extension into limiting plate = interface hepatitis)
Are acidophil bodies and Kupffer cell clusters seen in viral hepatitis?
Yes
Morphology of this hepatitis virus has classic micronodular cirrhosis
Hepatitis C
Does HepC antibodies or PCR show exposure?
Antibodies
Does HepC antibodies or PCR show presence of virus?
PCR
These three hepatitis viruses can have chronic infections
B, C, D