What are the indicators for viral hepatitis testing?

Written by Xiong Hong Hai
Infectious Disease
Updated on September 12, 2024
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Viral hepatitis can be confirmed for infection through tests such as hepatitis B "two and a half pairs," hepatitis A antibodies, hepatitis C antibodies, and hepatitis E antibodies. By using the hepatitis B "two and a half pairs" test to look for the hepatitis B surface antigen, if the surface antigen is positive, it indicates infection with the hepatitis B virus. The hepatitis A antibody test primarily assesses for hepatitis A antibody IGM; if this is positive, it suggests an active infection. Through the hepatitis C antibody test, if positive, further testing for hepatitis C virus RNA can be conducted. The hepatitis E antibody test mainly looks at hepatitis E antibody IGM, and the interpretation should be based on the specific circumstances.

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Written by Ye Xi Yong
Infectious Diseases
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What are the symptoms of viral hepatitis?

The clinical manifestations of viral hepatitis primarily include impaired liver function, characterized by fatigue, nausea, loss of appetite, vomiting, fever, abdominal pain, etc. Some patients with viral hepatitis may also exhibit jaundice of the skin and sclera, dark urine, and itchy skin. Additionally, a majority of patients may only experience a decrease in energy without other symptoms.

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Written by Ye Xi Yong
Infectious Diseases
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What is the prognosis of viral hepatitis?

China is a country with a high incidence of liver disease, especially hepatitis B. Viral hepatitis is categorized into five types: A, B, C, D, and E. Hepatitis A and E are acute diseases, somewhat similar to the common cold in nature. Many patients with hepatitis A or E recover without seeking hospital treatment. However, hepatitis B and C often progress to chronic hepatitis and require timely and standardized intervention and treatment. If treated promptly and properly, patients can recover just like healthy individuals.

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Written by Ye Xi Yong
Infectious Diseases
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How to test for viral hepatitis?

Viral hepatitis is primarily caused by hepatitis A, B, C, D, and E viruses. However, its diagnosis is mainly confirmed through blood tests by examining serological results. It is generally difficult to differentiate clinically because conditions like hepatitis A and E have very similar clinical manifestations. Similarly, hepatitis B and C can show similar symptoms during certain stages of the disease. Therefore, the examination of viral hepatitis primarily involves blood tests for serological studies of the hepatitis virus.

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Written by Ye Xi Yong
Infectious Diseases
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How to treat viral hepatitis

Viral hepatitis is caused by various viruses, primarily affecting the liver and characterized as an infectious disease. Clinically, the main symptoms include loss of appetite, nausea, abdominal discomfort, pain in the liver area, and fatigue. Some patients may also experience jaundice and fever. Common causes include five types of hepatitis viruses: Type A, B, C, D, and E. Generally, hepatitis B and C can lead to chronic hepatitis. Acute hepatitis is primarily treated symptomatically, while chronic conditions like hepatitis B and C usually require antiviral treatment.

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Written by Zhang Jian Kang
Infectious Disease
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What indicators are checked for viral hepatitis?

For viral hepatitis, the primary index to check is liver function. If there are obvious abnormalities in liver function, further clarification is needed to determine what caused these liver function abnormalities. The most common pathogens include Hepatitis A, B, C, E, D, and non-A non-E, etc. Typical hospitals carry out tests for Hepatitis A, B, C, and E. Hepatitis A and E are acute hepatitis; if IgM antibodies are positive, it can indicate a recent infection. However, if IgG antibodies are positive, their significance is not very substantial. If Hepatitis B or C causes the liver damage, further tests such as HBV-DNA, HCV-RNA, etc., need to be conducted to clarify the cause of the liver condition. Additionally, regular follow-up exams like ultrasound and AFP are required.