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Updated: Dec 19, 2025

Author Spotlight: Advancements and Challenges in Hepatitis B Virus Detection
Published on: December 15, 2023
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.
Aim:
The aim of this study was to describe the epidemiological and clinical characteristics in children with either chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection in Denmark.
Methods:
In this observational study, children and adolescents with either chronic HBV or HCV infection followed at the largest paediatric departments in Denmark between 2001 and 2013 were included. Data collection included as well epidemiological data as clinical data like virus genotype, viral load, serological markers, liver biochemistry, liver elastography and histology if available.
Results:
The study included 131 children. None of the patients had decreased liver function or end-stage liver disease during follow-up. Ten of the 18 children who underwent liver biopsy had signs of fibrosis. Thirteen (11%) children with HBV and one (7%) child with HCV received treatment. Different indications and different treatment regimens were used.
Conclusion:
This study confirms that chronic HBV and HCV infections are often mild diseases during childhood. Nevertheless, children are at higher risk of serious liver disease early in life because of the early time of infection and probably also because of the high viral loads.
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