Presentation
[…] and Caroli’s disease presenting in older children. [tropicalgastro.com]
“The relationship of PBC with UC [ulcerative colitis] remains obscure as there are few reported cases regarding the combined presentation of these diseases. [mdedge.com]
Occasionally, choledochal cysts will have a delayed presentation until adult life and rarely will present in middle age. [surgwiki.com]
Clinical presentation The clinical presentation of biliary cystadenomas is variable, depending on the size and... [radiopaedia.org]
Entire Body System
- Fatigue
Most patients present with fatigue and pruritus and, occasionally, jaundice. The natural history is variable but involves progressive destruction of the bile ducts, leading to cirrhosis and liver failure. [emedicine.medscape.com]
[…] common to many of the disorders include: Jaundice (yellowing of the skin and whites of the eyes) Abdominal pain, especially in the upper right side of the abdomen under the rib cage Nausea or vomiting Loss of appetite, which may result in weight loss Fatigue [gwhospital.com]
They include: yellowing of the skin (jaundice) dark urine joint pain a loss of appetite pain in the abdomen liver enlargement acute liver failure nausea vomiting fatigue fever Most cases of hepatitis E are caused by drinking water contaminated by fecal [healthline.com]
(leads to cirrhosis) •Anorexia and wt. loss •Early morning nausea and vomiting (with blood) •Flatulence and changes in bowel habits •Emaciation •fatigue •Jaundice •Abdominal pain and tenderness •Ascites •Peripheral edema •Dry skin and rashes •Petechiae [quizlet.com]
Examples of these events include: Fatigue Menstruation Weak immune system Hormonal changes Stress Exposure to strong sunlight Exposure to extreme temperatures Fever Dental surgery Upper respiratory infection Treatment of herpes labialis Cold sores usually [news-medical.net]
- Anemia
[…] patients past hx interventions self help (AA) care of the family 3 conditions may develop from various disorders of the h-b-p Jaundice or icterus hyperbilirubinemia types - hemolytic, obstructive and hepatocellular Hemolytic Transfusion rxn hemolytic anemia [unf.edu]
[…] boobs) •Impotence •Fall of body hair •Atrophy of testicles Cirrhosis damage, Females(increase androgren) •Hirsutism (woman beard) •Acne •Deepening of voice •Increase virilism (changes that make a male body different than female) •Hematologic disorders -Anemia [quizlet.com]
Common clinical presentations reported earlier have been edema, jaundice, variceal bleeding, fever, anemia, splenomegaly, hypoalbuminemia, hepatomegaly.[4,5] In our study, common presentations of chronic hepatobiliary disorders were jaundice, hepatomegaly [tropicalgastro.com]
Unconjugated hyperbilirubinemia may also arise from hemolytic anemia (leading to overproduction of bilirubin) or abnormal bilirubin conjugation. Conjugated hyperbilirubinemia is always considered pathologic (see below). [clinicalgate.com]
Gastrointestinal
- Abdominal Pain
Acute abdominal pain is the cause of hospitalization in 10% of patients with sickle cell disease and usually occurs during vaso-occlusion or distal tissue ischemia. [go.gale.com]
Abdominal pain is a common symptom seen in gallbladder cancer - gallbladder (green) behind liver (red). [news-medical.net]
pain that abates over several hours Persistent pain accompanied by fever Pancreatitis or pancreatic cancer, on the other hand, can cause the following symptoms: Upper abdominal pain radiating to the back and tends to get worse when eating foods high in [docdoc.com.sg]
About half of the patients present with some combination of jaundice, abdominal pain, and an abdominal mass. The presence of these cysts is often associated with an anomalous union of the pancreatic and biliary ductal system. [emedicine.medscape.com]
Approximately 10–20% of the population has gallstones, making biliary pathology an increasing consideration in a patient with abdominal pain. Females are twice as likely to have gallstones. [accessmedicine.mhmedical.com]
Skin
- Eczema
Eczema herpeticum In patients with a history of atopic dermatitis orDarier disease, HSV may result in severe and widespread infection, known as eczema herpeticum. The skin disease can be active or historical. [dermnetnz.org]
Once you have the virus, certain risk factors may reactivate it such as: infection, fever, or a cold sun exposure stress HIV/AIDS or a weakened immune system menstruation severe burns eczema chemotherapy dental work You’re at risk of getting a cold sore [healthline.com]
Eczema herpeticum: This may occur in people (especially children) who have areas of eczema or atopic (allergic) dermatitis, which is very itchy. [medicinenet.com]
Eczema herpeticum is a complication of HSV infection in which severe herpetic disease develops in skin regions with eczema. [merckmanuals.com]
Rarely, some complications develop in a few individuals: Atopic eczema Encephalitis Keratoconjunctivitis Pharyngitis Hepatitis Herpes whitlow (HSV blisters or lesions on the finger[s]) From Oral Herpes vs. [emedicinehealth.com]
- Skin Disease
Skin Diseases, Viral Skin Diseases, Infectious Skin Diseases Lip Diseases Mouth Diseases Stomatognathic Diseases Acyclovir Photosensitizing Agents Antiviral Agents Anti-Infective Agents Dermatologic Agents [clinicaltrials.gov]
In the group of children who lived (n = 13), 6 were boys and 7 were girls; 4 had CHB, 8 had skin lesions, and 1 had both CHB and skin lesions; and 10 were white, 2 were Hispanic, and 1 was Asian. [pediatrics.aappublications.org]
Diseases with both cutaneous and liver involvement, liver pathology due to skin diseases, liver damage by drugs used to treat skin diseases, and liver transplant patients were excluded from the study. [idoj.in]
Eczema herpeticum In patients with a history of atopic dermatitis orDarier disease, HSV may result in severe and widespread infection, known as eczema herpeticum. The skin disease can be active or historical. [dermnetnz.org]
Neurologic
- Guillain-Barré Syndrome
In some cases, HEV induces neurologic symptoms (13) such as neuralgic amyotrophy, Guillain–Barré syndrome, and meningoencephalitis (14). Elevated liver enzymes is the main biological feature (11). [frontiersin.org]
Table 1: Extrahepatic manifestations of acute and chronic hepatitis E infection Organ system Clinical syndrome Neurological Neuralgic amyotrophy Guillain–Barré syndrome Meningoencephalitis Mononeuritis multiplex Myositis Bell’s palsy Peripheral neuropathy [pharmaceutical-journal.com]
Urogenital
- Dark Urine
Common clinical presentations were jaundice in 32 (71%), dark urine in 19 (42%), fever in 13 (29%), failure to thrive in 7 (16%), splenomegaly in 21 (47%) and hepatomegaly in 32 (71%). [tropicalgastro.com]
They include: yellowing of the skin (jaundice) dark urine joint pain a loss of appetite pain in the abdomen liver enlargement acute liver failure nausea vomiting fatigue fever Most cases of hepatitis E are caused by drinking water contaminated by fecal [healthline.com]
Symptoms may include: abdominal pain loss of appetite weight loss nausea (and sometimes vomiting) fever and chills mild headache tiredness dark urine and pale faeces yellow skin and eyes (jaundice) (see image). [sahealth.sa.gov.au]
urine, and light-coloured stool. [docdoc.com.sg]
Workup
The Development of Diagnostic Guidelines and Algorithms The availability of genetic testing has altered the diagnostic workup for many disorders. [journals.lww.com]
At a mild elevation of liver enzymes, reevaluation is recommended; however, if an elevation persists and is suspicious for a liver disease, a specific workup is necessary [33]. 2.2. [hindawi.com]
Treatment
Treatments and drugs Treatment for liver disease depends on your diagnosis. [uhswv.com]
The standard treatment includes the use of antiviral treatment (interferon-alfa with ribavirin). [hb.surgery.ucsf.edu]
Keep in mind that treatment for the ailment is your first obligation towards you. So whenever you came to know about ailment start the treatment to save the health and life, the true blessing of Almighty. [marham.pk]
The patient will also be blind to the type of treatment performed, since the treatment of the lesion will be identical in both groups and the treatment with PDT will be simulated in the control group. [clinicaltrials.gov]
Treatment: Treatment of PSC associated with UC does not differ from PSC without IBD. As no pharmacologic therapy has proven effective for PSC, treatment goals are the control of symptoms and the management of complications. [wjgnet.com]
Prognosis
However, the small number of children in the group with severe disease precludes a definite conclusion about ethnicity and prognosis. [pediatrics.aappublications.org]
Diagnosis, treatment, and prognosis of the overlap syndrome are controversial and so standardized diagnostic criteria are needed[53,54]. [wjgnet.com]
Serial measurements better reflect severity and prognosis than does a single measurement. [msdmanuals.com]
A fibrolamellar type is seen mainly in young women and has a much better prognosis. [surgwiki.com]
Etiology
Abstract Aim: To determine etiological spectrum as well as clinical profile of chronic hepatobiliary disorders in children. [tropicalgastro.com]
Determining the etiology of abdominal pain is very difficult in these patients because it is associated with several rare diagnoses, such as pancreatitis and splenic abscess in some patients. [go.gale.com]
Another study reported that the gastrointestinal tract in KD is the primary site for the entry of etiologic agents that predispose to KD [ 14, 17 ]. [bmcpediatr.biomedcentral.com]
Bile duct dilatation can be due to several etiologies. [radiopaedia.org]
Epidemiology
Peer-Reviewed Publication Hepatitis E virus: Assessment of the epidemiological situation in humans in Europe, 2014/15 [ecdc.europa.eu]
Epidemiology These are rare tumo... [radiopaedia.org]
Item Type: Article MeSH: Adolescent ; Adult ; Aged ; Aged, 80 and over ; Croatia/epidemiology ; Female ; HIV Infections/blood ; HIV Infections/epidemiology ; HIV Infections/virology ; Hepatitis Antibodies/blood ; Hepatitis E/blood ; Hepatitis E/diagnosis [medlib.mef.hr]
The epidemiology of gallstone disease. Pp. 1-26 in S. Cohen and R.D. Soloway, eds. Contemporary Issues in Gastroenterology. Churchill Livingstone, New York. Terris, M. 1967. Epidemiology of cirrhosis of the liver: national mortality data. Am. J. [nap.edu]
Both are closely related but differ in epidemiology. HSV-1 is traditionally associated with orofacial disease (see the image below), while HSV-2 is traditionally associated with genital disease. [emedicine.medscape.com]
Pathophysiology
Understanding the basic pathophysiology of each of these conditions is essential to appropriately diagnose and treat patients with biliary disease. A basic understanding of biliary disease requires a vocabulary of terms used in describing them. [accessmedicine.mhmedical.com]
Pathophysiology and Natural History Most gallstones are composed primarily of cholesterol, with smaller amounts of mucus, calcium bilirubinate, and protein. [clevelandclinicmeded.com]
Prevention and reduction of risk factors Education of the public regarding etoh abuse and its relationship to cirrhosis work/leisure exposure to hepatotoxins assess medication regimens correct handling of sharps/body fluids CIRRHOSIS IS IRREVERSIBLE Pathophysiology [unf.edu]
[…] manifestations HB manifestations share pathogenesis and mechanism with IBD Primary sclerosing cholangitis (PSC) Small‐duct PSC Cholangiocarcinoma Autoimmune hepatitis/PSC overlap Immunoglobulin G4 associated cholangitis HB manifestations parallel the pathophysiology [onlinelibrary.wiley.com]
It is also the long-term expectation that such gene discoveries will provide us with better insight into pathophysiology of these disorders, and therefore provide prospects for novel therapies. [journals.lww.com]
Prevention
Prevention Biliary disorders due to gallstones may be prevented by having the gallbladder surgically removed. The formation of gallstones may also be prevented by eating a well-balanced diet, maintaining a healthy weight and exercising regularly. [gwhospital.com]
You can help prevent the reactivation of the cold sore virus by learning your triggers and taking steps to prevent them. [healthline.com]
Issued by: Guidance Issuing Office Office of Medical Products and Tobacco, Center for Drug Evaluation and Research The purpose of this guidance is to assist sponsors in the development of drugs for the treatment and prevention of recurrent herpes labialis [fda.gov]
Prevention Preventing hepatitis E is the best way to avoid the infection and its possible complications. When traveling to developing countries or overcrowded areas with unclean water, be sure to only drink purified water. [medicalnewstoday.com]
The vaccine appears to have about 95% efficacy in preventing symptomatic infection in males and is safe. Efficacy in other groups, duration of protection, and efficacy in preventing asymptomatic infection are unknown. [msdmanuals.com]