Erschienen in:
20.10.2021 | Hepatitis C (H Vargas and S Flamm, Section Editors)
Addressing Hepatitis B in the Context of Hepatitis C
verfasst von:
Lauren Myers, Arnab Mitra, Joseph Ahn
Erschienen in:
Current Hepatology Reports
|
Ausgabe 4/2021
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Abstract
Purpose of Review
There are worldwide efforts focused on targeting the screening and treatment of viral hepatitis B and C. This review highlights liver and treatment-related impacts of hepatitis B and C dual infection.
Recent Findings
It is important to identify the subset of individuals who may have been coinfected with both hepatitis B and C who are at increased risk for liver fibrosis, hepatocellular carcinoma as well as clinically significant hepatitis B reactivation when hepatitis C is treated. Those with hepatitis B surface antigen positivity are at greatest risk for hepatitis B reactivation. Treatment with newer direct-acting antivirals (DAA) has been associated with earlier onset hepatitis B reactivation and more severe hepatitis than prior interferon-based hepatitis C treatments.
Summary
Several practice guidelines have been published that recommend close monitoring with hepatitis B serologies and laboratory screening during hepatitis C treatment as well as preemptive antiviral treatment of hepatitis B in the highest risk groups to optimize clinical outcomes.