国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2015年
1期
41-44
,共4页
戊型肝炎%免疫缺陷%器官移植
戊型肝炎%免疫缺陷%器官移植
무형간염%면역결함%기관이식
Hepatitis E%Immunodeficiency%Organ transplantation
戊型肝炎散发于世界各地,多为急性自限性疾病,但近年来不断有文献报道在HIV感染者、器官移植和放化疗患者等免疫力低下人群中发现基因3型戊型肝炎病毒感染导致的戊型肝炎慢性化疾病,其临床表现类似急性戊型肝炎,但症状及肝功能损伤均较轻.目前研究发现,人群感染戊型肝炎病毒后肝炎慢性化的机制主要包括宿主因素和病毒因素.此文就慢性戊型肝炎的定义、临床表现、患者特征、感染慢性化的病毒因素及治疗等方面的进展进行综述.
戊型肝炎散髮于世界各地,多為急性自限性疾病,但近年來不斷有文獻報道在HIV感染者、器官移植和放化療患者等免疫力低下人群中髮現基因3型戊型肝炎病毒感染導緻的戊型肝炎慢性化疾病,其臨床錶現類似急性戊型肝炎,但癥狀及肝功能損傷均較輕.目前研究髮現,人群感染戊型肝炎病毒後肝炎慢性化的機製主要包括宿主因素和病毒因素.此文就慢性戊型肝炎的定義、臨床錶現、患者特徵、感染慢性化的病毒因素及治療等方麵的進展進行綜述.
무형간염산발우세계각지,다위급성자한성질병,단근년래불단유문헌보도재HIV감염자、기관이식화방화료환자등면역력저하인군중발현기인3형무형간염병독감염도치적무형간염만성화질병,기림상표현유사급성무형간염,단증상급간공능손상균교경.목전연구발현,인군감염무형간염병독후간염만성화적궤제주요포괄숙주인소화병독인소.차문취만성무형간염적정의、림상표현、환자특정、감염만성화적병독인소급치료등방면적진전진행종술.
Hepatitis E is sporadic around the world,which usually is considered as an acute self-limited disease.But in recent years,there are more and more case reports indicate that chronic hepatitis E caused by genotype 3 HEV can be found in patients with conpromised immunity related to HIV,organ transplantation and chemotherapy.The clinical manifestations are similar to acute hepatitis E,but the symptoms and the liver dysfunction are slighter.Present research promotes that chronic hepatitis E is related to host factors and viral factors.The definition,clinical manifestations,the characteristics of patients,viral factors of chronic hepatitis E and treatment are reviewed in this article.