#Hepatitisvirus
What is hepatitis? and what are Types of hepatitis ?
Any thing which causes liver to be inflamed which manifests as abnormal liver functional test is hepatitis
Commonest causes of hepatitis is viral hepatitis the causes are
alcoholic
non alcoholic fatty liver diseases
as well as drugs induced.
alcoholic
non alcoholic fatty liver diseases
as well as drugs induced.
Viral hepatitis
Hepatitis can be either
acute or chronic
We need to understand that different type of virus causes different type of viral hepatitis in which A AND
E cause acute one whereas B and C cause chronic hepatitis.
Once you have hepatitis its lasts for less than 6
month than that is acute hepatitis while
if you have chronic hepatitis the infection lasts for more than 6 month and keeps on infecting then it is chronic hepatitis.
Overall viral Hepatitis is a major health problem in
india so much so that is equals to big three disease and morbidity caused by malaria tb and hiv is
equals to the death by the hepatitis virus alone.
Viral hepatitis have
5 virus types , it categories into A B
C D E .
Hepatitis D is
not very important as it hardly exists
in our country.
acute Hepatitis is broadly classified
into two categories A and E these are transmitted by faeco-oral transmission that’s means by food and water .
B and c can be clubbed together
these two are transmitted by parental
transmission that means the blood transfussion is needed.
Hepatitis A
The over all prevalence of Hepatitis A is 1-2 % in our country.
seroprevelence : 90 % children have
antibodies means in childhood most
of the people and children is
getting infected by it and it is cleared That is asymptomatic .
once it happens in adult than it can causes serious illness like
liver disease and jaundice
the good part is
that even in adult 99 % off the the virus is cleared is own while only
1% left with some serious complications..
Hepatitis A only causes problem in patients who have preexisting
liver diseases lets some have CLD kidney diseases or some other immune compromise situation then
only cause serious problem only in acute situations.
Hepatitis B
is basically prenatally transmitted virus means it can only transmitted
by blood contact by or by sexual contact or scratche.
this is both acute and
chronic hepatitis
in acute hepatitis cases its 1/4th are caused by hepatitis B virus.
in acute hepatitis cases its 1/4th are caused by hepatitis B virus.
IN chronic: 60-70 % in india with chronic case are hepatitis B as a main cause.
Hepatitis B infection commonly leads into chronic and that turns into cirrhosis also hepatic cellular carcinoma.
Hepatitis C
again like hepatitis b hepatitis c prenatally transmitted either by blood or sexual contacts.
again hepatitis.B and C causes
majority of cirrhosis.
C is also the cause of
hepatocelluar carcinoma in india . prevalence of
B is more
than c
Both of them are leading
cause of morbidity or hepatocellular cancer
in india
Hepatis E
Like hepatitis A , hepatitis E is also caused by contamination of food
and water.
The prevalence is not very high but happens in epidemic or sporadic like specific area
Like in flood or rainy seasons OR from one contaminated source.
And the difference between A and E , the E the hepatitis adds to more serious , and this causes acute liver failure
Hepatitis A is almost self healing in children,but dangerous
in adults.
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