Resolved Hepatitis B: Achieved or Imaginary Wellbeing?

Aim. Assessment of the clinical impact of previous hepatitis B infection (PHB).Key points. PHB is characterized by the presence of viral DNA in the organism (including intrahepatic cccDNA and integrated DNA). Possible virus persistence in the PHB patient's hepatocytes potentiates the agent tran...

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Main Author: S. N. Batskikh
Format: Article
Language:Russian
Published: Gastro LLC 2021-04-01
Series:Российский журнал гастроэнтерологии, гепатологии, колопроктологии
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Online Access:https://www.gastro-j.ru/jour/article/view/514
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author S. N. Batskikh
author_facet S. N. Batskikh
author_sort S. N. Batskikh
collection DOAJ
description Aim. Assessment of the clinical impact of previous hepatitis B infection (PHB).Key points. PHB is characterized by the presence of viral DNA in the organism (including intrahepatic cccDNA and integrated DNA). Possible virus persistence in the PHB patient's hepatocytes potentiates the agent transmission risk via haemotransfusion, organ transplantation and haemodialysis. Occult HBV infection in PHB individuals can reactivate at background immunosuppressive or chemotherapies. PHB with chronic liver diseases of various aetiology significantly rises the risk of cirrhosis and hepatic cancer. The PHB association with autoimmune liver diseases and extrahepatic gastrointestinal cancer needs a careful research to confirm the possible involvement of hepatitis B virus in morbid genesis.Conclusion. No clinical signs of acute or chronic disease, HBsAg clearance and negative viral DNA load in blood of PHB individuals do not necessarily imply a complete disease eradication.PHB elicitation improves accuracy of the overall prognosis, reduces the virus transmission risk and prevents the reactivation of HBV infection.
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institution Kabale University
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publishDate 2021-04-01
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series Российский журнал гастроэнтерологии, гепатологии, колопроктологии
spelling doaj-art-fb953b390c3b49b8ba678a07a93e2a792025-02-10T16:14:36ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732021-04-0131171910.22416/1382-4376-2021-31-1-7-19408Resolved Hepatitis B: Achieved or Imaginary Wellbeing?S. N. Batskikh0Loginov Moscow Clinical Scientific CenterAim. Assessment of the clinical impact of previous hepatitis B infection (PHB).Key points. PHB is characterized by the presence of viral DNA in the organism (including intrahepatic cccDNA and integrated DNA). Possible virus persistence in the PHB patient's hepatocytes potentiates the agent transmission risk via haemotransfusion, organ transplantation and haemodialysis. Occult HBV infection in PHB individuals can reactivate at background immunosuppressive or chemotherapies. PHB with chronic liver diseases of various aetiology significantly rises the risk of cirrhosis and hepatic cancer. The PHB association with autoimmune liver diseases and extrahepatic gastrointestinal cancer needs a careful research to confirm the possible involvement of hepatitis B virus in morbid genesis.Conclusion. No clinical signs of acute or chronic disease, HBsAg clearance and negative viral DNA load in blood of PHB individuals do not necessarily imply a complete disease eradication.PHB elicitation improves accuracy of the overall prognosis, reduces the virus transmission risk and prevents the reactivation of HBV infection.https://www.gastro-j.ru/jour/article/view/514previous hepatitis bresolved hepatitis boccult hbv infectionanti-hbcreactivationcirrhosishepatocellular carcinoma
spellingShingle S. N. Batskikh
Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
Российский журнал гастроэнтерологии, гепатологии, колопроктологии
previous hepatitis b
resolved hepatitis b
occult hbv infection
anti-hbc
reactivation
cirrhosis
hepatocellular carcinoma
title Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
title_full Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
title_fullStr Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
title_full_unstemmed Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
title_short Resolved Hepatitis B: Achieved or Imaginary Wellbeing?
title_sort resolved hepatitis b achieved or imaginary wellbeing
topic previous hepatitis b
resolved hepatitis b
occult hbv infection
anti-hbc
reactivation
cirrhosis
hepatocellular carcinoma
url https://www.gastro-j.ru/jour/article/view/514
work_keys_str_mv AT snbatskikh resolvedhepatitisbachievedorimaginarywellbeing