Craxi Lucia
Docente di Storia della Medicina e Bioetica, Facolta di Medicina e Chirurgia, Universita degli Studi di Palermo, Italy.
Infez Med. 2012 Mar;20(1):52-7.
Hepatitis has gone along with human history since its origins, due to its prompt identifiability linked to jaundice as a symptom. Written evidence of outbreaks of epidemic jaundice can be tracked back a few millenniums before Christ. Unavoidable confusion arises due to the overlap of different sources possibly linked to different aetiologies, identified over time as epidemic jaundice (HAV or HEV hepatitis?) and serum hepatitis (HBV or HCV hepatitis?). The journey that brought to recognize viruses as the main cause of jaundice was long and started midway during the last century, when the infectious hypothesis, which had taken place step by step, was finally confirmed by epidemiological investigations of an outbreak occurring in the US army in 1942, after a yellow fever immunization campaign. Further research identified two clinically different types of hepatitis, called for the first time hepatitis A and hepatitis B.
自起源以来,肝炎就一直伴随着人类历史,这是因为它与黄疸症状相关,易于识别。流行性黄疸爆发的书面证据可以追溯到公元前几千年。由于不同来源可能与不同病因重叠,随着时间的推移,这些病因被确定为流行性黄疸(甲型肝炎病毒或戊型肝炎病毒引起的肝炎?)和血清性肝炎(乙型肝炎病毒或丙型肝炎病毒引起的肝炎?),不可避免地产生了混淆。认识到病毒是黄疸的主要病因的过程漫长,始于上世纪中叶,当时逐步形成的感染假说最终在1942年美国军队黄热病免疫接种运动后发生的一次疫情的流行病学调查中得到证实。进一步的研究确定了两种临床症状不同的肝炎,首次称为甲型肝炎和乙型肝炎。