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A Competent Hepatocyte Model Examining Hepatitis B Virus Entry through Sodium Taurocholate Cotransporting Polypeptide as a Therapeutic Target
Published on: May 10, 2022
Hepatitis B "by proxy": an emerging presentation of chronic hepatitis B in children
Marco Sciveres1, Giuseppe Maggiore
1Sezione di Gastroenterologia ed Epatologia, Dipartimento di Medicina della Procreazione e dell'Età Evolutiva, University of Pisa, Pisa, Italy.
Insights
Newly adopted children can carry chronic Hepatitis B virus (HBV) infection, identified by family outbreaks. Early screening for HBV in adopted children is crucial for timely intervention and preventing further spread.
Area of Science:
- Hepatology
- Infectious Diseases
- Pediatrics
Background:
- Hepatitis B virus (HBV) infection can persist chronically.
- Asymptomatic carriers pose a risk for disease transmission within households.
Purpose of the Study:
- To highlight the importance of screening adopted children for chronic HBV.
- To emphasize early detection of HBV in at-risk pediatric populations.
Main Methods:
- Case report of 6 adopted children.
- Identification of chronic HBV infection through family member's acute hepatitis B diagnosis.
- Serum HBV-DNA quantification.
Main Results:
- Six adopted asymptomatic children were diagnosed with chronic HBV infection.
- All identified children had high viral loads (serum HBV-DNA >2000 pg/mL).
Conclusions:
- Acute hepatitis B in a family necessitates evaluation for chronic HBV in other members, particularly adopted children.
- Prompt HBV status assessment in adopted children is vital for effective management and prevention of transmission.
Abstract:
We report on 6 adopted asymptomatic children in whom chronic HBV infection was identified through the occurrence of an acute hepatitis B in a family member. All of the children had serum HBV-DNA >2000 pg/mL. Acute hepatitis B in a family should alert the physician regarding the possibility of existing chronic HBV infection in other members of the family, especially newly adopted children, leading to a quick evaluation of their HBV status and to an efficacious protection of susceptible family members.
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