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戊型肝炎的临床特征。

Clinical Manifestations of Hepatitis E.

机构信息

Senior Department of Hepatology, Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.

出版信息

Adv Exp Med Biol. 2023;1417:185-197. doi: 10.1007/978-981-99-1304-6_13.

Abstract

The clinical manifestations of hepatitis E are similar to those of other types of viral hepatitis. While acute hepatitis E is usually self-limited, pregnant women and chronic liver disease patients suffering from acute hepatitis E usually present with severe clinical manifestations that may develop into fulminant hepatic failure. Chronic HEV infection is typically seen in organ transplant patients; most HEV cases are asymptomatic and rarely display jaundice, fatigue, abdominal pain, fever, fatigue, or ascites. The clinical manifestations of HEV infection in neonates are diverse and have varied clinical signs, biochemistry, and virus-biomarkers. Lastly, the extrahepatic manifestations and complications of hepatitis E are in need of further study.

摘要

戊型肝炎的临床表现与其他类型的病毒性肝炎相似。急性戊型肝炎通常为自限性,但孕妇和慢性肝病患者患急性戊型肝炎时通常表现出严重的临床症状,可能发展为暴发性肝衰竭。慢性 HEV 感染多见于器官移植患者;大多数 HEV 病例无症状,很少出现黄疸、疲劳、腹痛、发热、乏力或腹水。新生儿 HEV 感染的临床表现多种多样,具有不同的临床体征、生物化学和病毒标志物。最后,戊型肝炎的肝外表现和并发症需要进一步研究。

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