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Hepatitis E infection is an under recognized cause of acute decompensation in patients with chronic liver disease
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posted on 2023-06-08, 12:35 authored by S De Silva, MO Hassan Ibrahim, M Austin, Melanie NewportMelanie Newport, Sumita VermaSumita VermaBackground/aims We aimed to assess characteristics of patients with a positive hepatitis E virus serology with emphasis on acute on chronic liver disease. Methods This was a retrospective audit performed at a large teaching hospital. Results Of the 164 patients tested, 15(9.1%) had a positive serology (hepatitis E virus IgG and or IgM) of whom two also had a positive hepatitis E virus RNA. Six (42.8%) had underlying chronic liver disease and presented with deteriorating liver tests±decompensation. In one patient (16%) acute hepatitis E virus infection was the aetiology for the decompensation and in three the positive hepatitis E virus IgG was a reflection of prior subclinical infection. However, in two of the six patients with unexplained decompensation there was delay (150–270 days) in obtaining a hepatitis E virus serology, which may have resulted in a negative hepatitis E virus IgM at time of testing. Conclusions 9.1% of patients presenting with abnormal liver tests at a large teaching hospital in south east England have a positive hepatitis E virus serology of whom 42.8% have acute on chronic liver disease. In 16% hepatitis E virus infection is the aetiology for the acute decompensation. This may be an under representation as in >30% of patients with unexplained decompensation there is considerable delay in requesting a hepatitis E virus serology.
History
Publication status
- Published
Journal
Digestive and Liver DiseaseISSN
1590-8658Publisher
ElsevierExternal DOI
Issue
11Volume
44Page range
930-934Department affiliated with
- Clinical and Experimental Medicine Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2013-03-06Usage metrics
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