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The prevalence and pattern of liver disease in infants and children in Hazara Division
1Department of Paediatrics, Ayub Medical College, Abbottabad.
Insights
Viral hepatitis is the most common liver disease in children in Pakistan's Hazara Division. This study identified viral hepatitis and enteric hepatitis as prevalent in children aged 6-8 years.
Area of Science:
- Pediatric Hepatology
- Gastroenterology
- Public Health
Background:
- Liver disease patterns vary globally due to environmental and lifestyle factors.
- Geographical variations in pediatric liver disease necessitate localized studies.
- This research focuses on the Hazara Division of Pakistan.
Purpose of the Study:
- To investigate the epidemiological pattern of liver diseases in infants and children.
- To identify the most common causes of liver disease in the pediatric population of Hazara Division.
- To understand the age and sex distribution of various liver conditions.
Main Methods:
- A study was conducted on 200 pediatric patients (inpatient and outpatient).
- Data was collected from June 1998 to October 1999 at Ayub Teaching Hospital.
- The study analyzed the spectrum of liver diseases in the studied cohort.
Main Results:
- Viral hepatitis was the most frequent diagnosis (60%).
- Enteric hepatitis (26%) and drug-induced liver injury (7.5%) were also significant findings.
- Biliary atresia (5.0%) and Criglar-Najjar Syndrome (1.5%) were less common. Liver diseases were more prevalent in males, with specific age distributions for each condition.
Conclusions:
- Viral hepatitis is a major cause of pediatric liver disease in the Hazara Division.
- Early diagnosis and intervention are crucial, especially for conditions like biliary atresia in infants.
- Further research into environmental and etiological factors is warranted to inform public health strategies.
Background:
The pattern of the liver disease may vary in different geographical locations. These reported variations are attributable to the differences in environmental factors, eating habits, socio-economic factors and other reasons. We studied the pattern of liver diseases in infants and children of Hazara Division of Pakistan.
Methods:
200 inpatient and outpatient infants and children in Ayub Teaching Hospital were studied from June, 1998 to October, 1999.
Results:
The spectrum of defect in the subjects, suffering from liver diseases showed that viral hepatitis was more common (relative frequency of 60%), followed by enteric hepatitis (26%), drug induced liver injury (7.5%), biliary atresia (5.0%) and Criglar-Najjar Syndrome (1.5%). Although both sexes were affected, however, the spectrum of liver disease was more common in males. Moreover, viral hepatitis and enteric hepatitis were found in children aging 6 to 8 years, biliary atresia in 6 months to 2 years, and drug induced liver injury in 3 to 5 years old subjects.
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