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Related Concept Videos

Hepatitis01:25

Hepatitis

86
Hepatitis is an inflammatory condition of the liver most commonly caused by hepatotropic viruses (A–E), though non-infectious causes such as alcohol and drugs also exist.Hepatitis AHepatitis A virus (HAV) is a non-enveloped RNA virus of the Picornaviridae family. It is primarily transmitted via the fecal-oral route, typically through ingestion of contaminated food or water. After ingestion, HAV enters the bloodstream through the oropharynx or intestinal epithelium and reaches the liver.
86
Viral Hepatitis I: Introduction01:28

Viral Hepatitis I: Introduction

25
Viral hepatitis is an inflammatory condition of the liver caused by infection with hepatotropic viruses, most commonly hepatitis A, B, C, D, and E. Despite variations in structure and transmission, all viruses mentioned infect hepatocytes and provoke immune responses that can hinder liver function. Additionally, some non-hepatotropic viruses can also lead to hepatic inflammation.Hepatitis A VirusHepatitis A virus (HAV) is transmitted through the fecal–oral route, typically by ingestion...
25
Portal Hypertension01:22

Portal Hypertension

50
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
50
Cirrhosis II: Pathophysiology01:24

Cirrhosis II: Pathophysiology

42
Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to...
42
Cirrhosis I: Introduction01:23

Cirrhosis I: Introduction

28
Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...
28
Hepatic Portal System01:21

Hepatic Portal System

8.2K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
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A Cell Culture Model for Producing High Titer Hepatitis E Virus Stocks
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Hepatitis E presenting with thrombocytopaenia.

Irfan Masood1, Ali Rafiq2, Zain Majid3

  • 1Medical Doctor/General Physician, Department of Medicine, Dow Medical College, Civil Hospital Karachi, Pakistan.

Tropical Doctor
|January 30, 2014
PubMed
Summary
This summary is machine-generated.

Hepatitis E viral infection can cause low platelet counts (thrombocytopenia) through an immune response. This association should be considered in patients with acute liver failure and thrombocytopenia.

Keywords:
Hepatitis Eimmune-mediatedthrombocytopaeniayoung male

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Hematology

Background:

  • Acute viral hepatitis is a significant global health concern.
  • Hepatitis E virus (HEV) infection is a common cause of acute liver failure, particularly in developing countries.
  • Thrombocytopenia (TCP) is a condition characterized by abnormally low levels of platelets.

Observation:

  • A 25-year-old male presented with symptoms of acute viral hepatitis.
  • Serological tests confirmed Hepatitis E viral (HEV) infection.
  • The patient also exhibited thrombocytopenia (TCP) concurrently with HEV infection.

Findings:

  • The patient's thrombocytopenia resolved following the resolution of jaundice.
  • Other common causes of thrombocytopenia were ruled out.
  • An immune-mediated mechanism secondary to HEV infection was proposed as the cause of the patient's low platelet count.

Implications:

  • HEV infection should be considered in the differential diagnosis of acute liver failure with thrombocytopenia.
  • This association may occur irrespective of patient age, gender, or geographical location.
  • Further research into the immune-mediated mechanisms linking HEV and thrombocytopenia is warranted.