The changing scenario of hepatitis D.

Abstract:

:The global scenario of hepatitis D is changing with the widespread implementation of vaccination against hepatitis B. In high-income countries that achieved optimal control of HBV, the epidemiology of hepatitis D is dual, consisting of an ageing cohort of domestic patients with advanced liver fibrosis who represent the end stage of the natural history of HDV, and of a younger generation of immigrants from endemic countries who account for the majority of new infections. Similar to the features in Europe in the 1980s, in endemic countries the distinctive clinical characteristic of chronic hepatitis D is the accelerated progression to cirrhosis and hepatocellular carcinoma. Despite some recent progress, the therapeutic management of HDV remains unsatisfactory, as most patients are not cured of HDV with currently available medicines. This review article describes the current epidemiology and clinical features of chronic hepatitis D, based on the international literature of the last ten years.

journal_name

J Hepatol

journal_title

Journal of hepatology

authors

Rizzetto M,Hamid S,Negro F

doi

10.1016/j.jhep.2021.01.014

subject

Has Abstract

pub_date

2021-01-20 00:00:00

eissn

0168-8278

issn

1600-0641

pii

S0168-8278(21)00023-4

pub_type

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