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Chronic Hepatitis

 Syn. HEPATITIS CHRONIC , CH

Signs & Symptoms

 Fatigue #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Ref: Uptodate [ Overview of the management of chronic hepatitis C virus infection]
Continue for at least 6 months
Ref: Harrison [ 2375] Cecil [ 453]
Mucocutaneous vasculitis on lower extremities
Ref: Harrison [ 2335]
Palpable purpura on lower extremities #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Note: due to cryoglobulinemia
Ref: Harrison [ 2335]

Physical Examination

 Palpable purpura on lower extremities #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Note: due to cryoglobulinemia
Ref: Harrison [ 2335]
Erythematous rash #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Ref: Cecil [ 889]
Weight loss #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Ref: Uptodate [ Overview of the management of chronic hepatitis C virus infection]

Lab / Serology

 Slightly elevated serum aminotransferases #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV #high_replicative_phase
Ref: Uptodate [ Overview of the management of chronic hepatitis C virus infection] Cecil [ 453] Epocrates [ https://online.epocrates.com/diseases/12736/Hepatitis-B/Diagnostic-Criteria]
Slightly elevated serum Alanine aminotransferase #Chronic_Hepatitis_C #Chronic_HCV #high_replicative_phase #AASLD_Criteria
Ref: Uptodate [ Overview of the management of chronic hepatitis C virus infection] Cecil [ 453]
Slightly elevated serum aspartate aminotransferase #Chronic_Hepatitis_C #Chronic_HCV #high_replicative_phase #AASLD_Criteria
Ref: Uptodate [ Overview of the management of chronic hepatitis C virus infection] Cecil [ 453]

Imagin Study

Complication

 Glomerulonephritis #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Ref: Cecil [ 451]
Polyarteritis nodosa #Chronic_Hepatitis_B #Chronic_HBV
Ref: Cecil [ 451]
Type II mixed cryoglobulinemia #Chronic_Hepatitis_C #Chronic_HCV #Chronic_Hepatitis_B #Chronic_HBV
Ref: Harrison [ 2149] Harrison [ 2335] Cecil [ 451]

Risk Factors

 Acute Hepatitis
Ref: Unknown [ 0]
Family chronic liver disease
Ref: Epocrates [ https://online.epocrates.com/diseases/12732/Hepatitis-B/Risk-Factors]
Family hepatocellular carcinoma
Ref: Epocrates [ https://online.epocrates.com/diseases/12732/Hepatitis-B/Risk-Factors]

Cause

 Caused by Nonalcoholic steatohepatitis
Ref: Cecil [ 453]
Caused by hepatitis B #chronic_viral_hepatitis
Ref: Harrison [ 2375]
Hepatitis B plus D #chronic_viral_hepatitis
Ref: Harrison [ 2375]

Other