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Hepatitis B: A Crash Course

Hepatitis B: A Crash Course. Yu-Ming Chang October 21, 2014. Prevalence of Chronic HBV Infection Age 19-49 in 2005. http:// wwwnc.cdc.gov /travel/ yellowbook /2014/chapter-3-infectious-diseases-related-to-travel/hepatitis-b. HCC Screening. Africans over 20 years of age

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Hepatitis B: A Crash Course

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  1. Hepatitis B: A Crash Course Yu-Ming Chang October 21, 2014

  2. Prevalence of Chronic HBV Infection Age 19-49 in 2005 http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-3-infectious-diseases-related-to-travel/hepatitis-b

  3. HCC Screening • Africans over 20 years of age • Asian men over 40 years • Asian women over 50 years • Any carrier over 40 years with persistent or intermittent ALT elevation and/or high HBV DNA level >2,000 IU/mL • Cirrhosis • Family history of HCC

  4. Take Home Points • HBV infection can be complicated but treatment is simple • HBV-induced transaminitis can wax/wane • Persistently normal ALT with HBS antigen positivity do not require treatment • Chronic HBV: get CMP, INR, CBC, HBV DNA before referring to hepatology • Don’t forget co-infections: HCV, HDV, HIV • Don’t forget vaccination: HAV, flu, Pneumococcal • Don’t forget HCC screen in non-cirrhotic patients

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