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Chronic Hepatitis, Pediatric

Pamela L. Valentino, MD, MSc, FRCP(C) Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Chronic hepatitis is a continuous inflammation of the liver that can lead to cirrhosis.

  • Features of chronic inflammation include raised transaminases for >6 months and histologic e...

DIAGNOSIS

HISTORY

  • Complete medical history including the following clinical signs and symptoms:

    • Use of medications, complementary or alternative medications, supplements, or IV drugs

    • Foreign travel

    • Histor...

TREATMENT

GENERAL MEASURES

The management of patients is dictated by the underlying diagnosis. 
  • General management

    • Maintaining growth and development is paramount.

    • Anthropometric parameters must be record...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Provide hepatocellular carcinoma surveillance with cirrhosis or diseases at high risk (tyrosinemia, GSD, etc.).

  • Obtaining an ultrasound scan of l...

ADDITIONAL READING

  • Mieli-Vergani G, Vergani D. Autoimmune hepatitis in children: what is different from adult AIH? Semin Liver Dis.  2009;29(3):297–306. [View Abstract on OvidInsights]

  • Murray KF, ...

CODES

ICD9

  • 571.40 Chronic hepatitis, unspecified

  • 571.41 Chronic persistent hepatitis

  • 070.9 Unspecified viral hepatitis without mention of hepatic coma

  • 571.42 Autoimmune hepatitis

  • 571.49 Other chronic hepat...

FAQ

  • Q: What are the risks of providing very young patients with a liver transplant?

  • A: Lifetime risks of immunosuppression and rejection. Although transplant in the very young is more difficult, with t...

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