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Detection of Low Copy Number Integrated Viral DNA Formed by In Vitro Hepatitis B Infection
Published on: November 7, 2018
Chronic viral hepatitis
David L Suskind1, Philip Rosenthal
1Department of Pediatrics, University of California at San Francisco, 500 Parnassus Avenue, MU E406, Box 0136, San Francisco, CA 94143, USA.
Insights
Hepatitis B and C are leading causes of chronic liver disease in children, often asymptomatic but leading to serious long-term complications. Early detection and prevention are crucial for managing pediatric viral hepatitis.
Area of Science:
- Hepatology
- Pediatric Gastroenterology
- Virology
Background:
- Hepatitis B virus (HBV) and hepatitis C virus (HCV) are primary global causes of chronic hepatitis.
- While less frequent in children, these viral infections represent significant health concerns.
Observation:
- Children with chronic HBV or HCV often present asymptomatically.
- Serum transaminases may be normal or only mildly elevated in affected children.
- Despite being indolent in childhood, chronic HBV and HCV lead to substantial morbidity and mortality later in life.
Findings:
- Serious complications like cirrhosis, liver failure, and hepatocellular carcinoma can manifest even in childhood.
- Routine follow-up with pediatric gastroenterologists or hepatologists is essential for managing chronic viral hepatitis.
Implications:
- Primary care physicians and specialists play a vital role in preventing chronic viral hepatitis.
- Implementing education and screening programs is critical for early detection and intervention in pediatric populations.
Abstract:
Although less common in childhood, hepatitis B virus (HBV) and hepatitis C virus (HCV) remain the most common causes of chronic hepatitis in the United States and worldwide. Children with chronic HBV or HCV are often asymptomatic, with normal or mildly elevated serum transaminases. Although chronic HBV and HCV are indolent diseases in childhood, they cause significant morbidity and mortality later in life. Because the dreaded complications of chronic HBV and HCV--cirrhosis with liver failure and hepatocellular carcinoma--can be seen in childhood, routine follow-up with a pediatric gastroenterologist or hepatologist is recommended. The most important role of the primary care physician and pediatric gastroenterologist or hepatologist is prevention of chronic viral hepatitis through education and screening programs.
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