Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection

Background. Information regarding the progression of acute hepatitis B virus (HBV) infection to chronic infection in adults is scarce. Methods. Twenty-five adult patients with acute HBV infection (14 men and 11 women, 18–84 years old), whose clinical features progressed to those of chronic infection...

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Main Authors: Kojiro Michitaka, Atsushi Hiraoka, Yoshio Tokumoto, Keiko Ninomiya, Tomoyuki Ninomiya, Norio Horiike, Masanori Abe, Yoichi Hiasa
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Hepatology
Online Access:http://dx.doi.org/10.1155/2014/358206
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author Kojiro Michitaka
Atsushi Hiraoka
Yoshio Tokumoto
Keiko Ninomiya
Tomoyuki Ninomiya
Norio Horiike
Masanori Abe
Yoichi Hiasa
author_facet Kojiro Michitaka
Atsushi Hiraoka
Yoshio Tokumoto
Keiko Ninomiya
Tomoyuki Ninomiya
Norio Horiike
Masanori Abe
Yoichi Hiasa
author_sort Kojiro Michitaka
collection DOAJ
description Background. Information regarding the progression of acute hepatitis B virus (HBV) infection to chronic infection in adults is scarce. Methods. Twenty-five adult patients with acute HBV infection (14 men and 11 women, 18–84 years old), whose clinical features progressed to those of chronic infection (group A) or did not (group B), were studied retrospectively. Results. There were 3 and 22 patients in groups A and B, respectively. Two of the 3 patients of group A lacked the typical symptoms of acute hepatitis. No differences were found between groups with respect to age, sex, or HBV genotypes. However, total bilirubin and alanine aminotransaminase levels were significantly lower in group A. Conclusions. Three of the 25 adult patients with acute HBV infection progressed to chronic infection. Hepatitis was mild in these patients. Patients with mild acute hepatitis B or unapparent HBV infection may have a higher risk of progressing to chronic infection.
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series International Journal of Hepatology
spelling doaj-art-1a5b8090048d446e9617e87fdfd52ed32025-02-03T06:12:03ZengWileyInternational Journal of Hepatology2090-34482090-34562014-01-01201410.1155/2014/358206358206Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic InfectionKojiro Michitaka0Atsushi Hiraoka1Yoshio Tokumoto2Keiko Ninomiya3Tomoyuki Ninomiya4Norio Horiike5Masanori Abe6Yoichi Hiasa7Gastroenterology Center, Ehime Prefectural Central Hospital, Kasugamachi 83, Matsuyama, Ehime 790-0024, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Kasugamachi 83, Matsuyama, Ehime 790-0024, JapanDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon 791-0295, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Kasugamachi 83, Matsuyama, Ehime 790-0024, JapanGastroenterology Center, Ehime Prefectural Central Hospital, Kasugamachi 83, Matsuyama, Ehime 790-0024, JapanDepartment of Internal Medicine, Saiseikai Imabari Hospital, Imabari 794-0054, JapanDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon 791-0295, JapanDepartment of Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Toon 791-0295, JapanBackground. Information regarding the progression of acute hepatitis B virus (HBV) infection to chronic infection in adults is scarce. Methods. Twenty-five adult patients with acute HBV infection (14 men and 11 women, 18–84 years old), whose clinical features progressed to those of chronic infection (group A) or did not (group B), were studied retrospectively. Results. There were 3 and 22 patients in groups A and B, respectively. Two of the 3 patients of group A lacked the typical symptoms of acute hepatitis. No differences were found between groups with respect to age, sex, or HBV genotypes. However, total bilirubin and alanine aminotransaminase levels were significantly lower in group A. Conclusions. Three of the 25 adult patients with acute HBV infection progressed to chronic infection. Hepatitis was mild in these patients. Patients with mild acute hepatitis B or unapparent HBV infection may have a higher risk of progressing to chronic infection.http://dx.doi.org/10.1155/2014/358206
spellingShingle Kojiro Michitaka
Atsushi Hiraoka
Yoshio Tokumoto
Keiko Ninomiya
Tomoyuki Ninomiya
Norio Horiike
Masanori Abe
Yoichi Hiasa
Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
International Journal of Hepatology
title Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
title_full Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
title_fullStr Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
title_full_unstemmed Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
title_short Clinical Features of Adult Patients with Acute Hepatitis B Virus Infection Progressing to Chronic Infection
title_sort clinical features of adult patients with acute hepatitis b virus infection progressing to chronic infection
url http://dx.doi.org/10.1155/2014/358206
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