A few words about hepatitis D, now.
The major ones are A, B, and C.
Just a few words about D & E.
Just to make sure we're complete
and you don't miss any questions.
Hepatitis D, right off the bat-
the most important identification of this will be.
It's a partial DNA.
With that said, it will never cause
fulminant hepatitis by itself.
It can't - partial. It requires the help.
Almost always with the partner,
it's partner is b.
Can co-infect or super infect
with HPV and that
becomes ridiculously dangerous.
It accelerates the liver damage
like you would not believe.
Frequent, especially among, remember,
Hepatitis B, how would you pass this
Sexually or parentally, IV drug abusers
are key candidates
that you are paying attention to.
Diagnosis: Anti-HDV Ab.
Empiric therapy with, once again,
IFN stands for interferon; recommended
due to increased risk of liver disease.
Fulminant liver disease remember.
Remember, often times, d & b will
be coming together as a package.
Keep that in mind partial, DNA.
Few words about hepatitis E here.
This is an RNA virus.
This is through the feco-oral route.
What is the other type of virus
that is also commonly feco oral?
Good. Hepatitis A.
Endemic areas you definitely want
This include the Indian sub-continent
and Mexico, and Southeast Asia.
Clinically resembles very much
High mortality in pregnancy
is big time for you.
High mortality in pregnancy from
Fulminant liver failure up to 20%.
That is unfortunate.
That is not a small percentage.
So, if you think about hepatitis e,
you should be thinking about,
The Far East Area,
South East Asia, maybe Indian
sub continent or the Mexican peninsula.
And then you should be thinking
about high mortality in pregnancy.
Diagnosis: suspect with history
to travel to such endemic areas.
Available through your CDC.