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[慢性乙肝和丁肝病毒感染]

[Chronic HBV and HDV infection].

作者信息

Rusignuolo Giuseppe, Thimme Robert, Neumann-Haefelin Christoph

出版信息

Dtsch Med Wochenschr. 2024 Aug;149(16):948-954. doi: 10.1055/a-2057-1840. Epub 2024 Aug 2.

Abstract

About 0,5% of the population in Germany has a chronic hepatitis B virus (HBV) infection. Untreated, chronic HBV infection can progress to liver cirrhosis and hepatocellular carcinoma (HCC). If diagnosed early, antiviral therapy can effectively prevent liver disease progression, but a cure is currently hardly achievable. About 5% of those chronically infected with HBV are also co-infected with the hepatitis D virus (HDV). HBV/HDV co-infection leads to liver cirrhosis in approximately 50% of patients within 5-10 years. Since 2020, the cell entry inhibitor bulevirtide is available as a specific therapy for HBV/HDV co-infection.

摘要

德国约0.5%的人口感染慢性乙型肝炎病毒(HBV)。未经治疗的慢性HBV感染可发展为肝硬化和肝细胞癌(HCC)。如果早期诊断,抗病毒治疗可有效预防肝病进展,但目前几乎无法治愈。约5%的慢性HBV感染者同时感染丁型肝炎病毒(HDV)。HBV/HDV合并感染在5至10年内会导致约50%的患者发生肝硬化。自2020年以来,细胞进入抑制剂布列韦肽可作为HBV/HDV合并感染的特异性治疗药物。

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