Paediatric hepatitis B and hepatitis C virus infections: An observational study of a Danish cohort

Christoph Norden1, Mikkel Malham1, Sannie Nordly1

  • 1The Paediatric Department, Copenhagen University Hospital, Hvidovre, Denmark.

Insights

Chronic hepatitis B (HBV) and C (HCV) infections in Danish children are generally mild. However, early infection and high viral loads increase the risk of severe liver disease in childhood.

Area of Science:

  • Pediatric Hepatology
  • Virology
  • Epidemiology

Background:

  • Chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections pose significant global health challenges.
  • Understanding the long-term impact of these viral infections in pediatric populations is crucial for effective management.

Purpose of the Study:

  • To characterize the epidemiological and clinical features of chronic HBV and HCV infections in children in Denmark.
  • To assess the progression and outcomes of viral hepatitis in a pediatric cohort.

Main Methods:

  • An observational study included children and adolescents diagnosed with chronic HBV or HCV infection between 2001 and 2013.
  • Data collected encompassed epidemiological factors, viral genotypes, viral loads, serological markers, liver biochemistry, and liver elastography/histology when available.

Main Results:

  • The study analyzed 131 children with chronic HBV or HCV.
  • No patients experienced decreased liver function or end-stage liver disease during follow-up.
  • Fibrosis was observed in 10 of 18 children who underwent liver biopsy; 11% with HBV and 7% with HCV received treatment.

Conclusions:

  • Chronic HBV and HCV infections typically present as mild conditions in childhood.
  • Despite generally mild presentations, children infected early or with high viral loads face an elevated risk of severe liver disease.
Abstract

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