病毒性肝炎:加拿大儿科医院的回顾性研究。

ISRN pediatrics Pub Date : 2011-01-01 Epub Date: 2010-12-29 DOI:10.5402/2011/182964
Paulina Cybulska, Andy Ni, Carolina Jimenez-Rivera
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引用次数: 6

摘要

介绍。病毒性肝炎的临床表现从轻微症状到暴发性肝炎不等。我们的目的是描述加拿大安大略省东部/魁北克省西部地区病毒性肝炎儿童的临床表现和结局。方法。回顾性分析1998年1月1日至2007年12月31日在我院诊断为病毒性肝炎的儿童。结果。在261例病例中,只有64例确诊的病毒病因:34例(53%)为乙型肝炎(HBV), 16例(25%)为丙型肝炎(HCV), 4例(6.3%)为甲型肝炎(HAV), 7例(11%)为巨细胞病毒(CMV), 3例(4.7%)为eb病毒(EBV)。感染HBV的儿童平均年龄为6.4±4.6岁。自发血清转化(HBVeAb的出现和HBVeAg的丢失)发生在21/34(61.7%)。急性肝炎(甲肝、巨细胞病毒和EBV)患儿表现为轻微腹痛、黄疸和发烧。总体结果非常好。结论。儿童急慢性肝炎有良性病程;此外,HBV自发血清转化在儿科患者中很常见。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Viral hepatitis: retrospective review in a canadian pediatric hospital.

Introduction. Clinical presentation of viral hepatitis ranges from mild symptoms to fulminant hepatitis. Our aim is to describe clinical presentation and outcomes of children with viral hepatitis from the Eastern Ontario/Western Quebec regions of Canada. Methods. Retrospective chart review of children diagnosed with viral hepatitis at our institution from January 1, 1998, to December 31, 2007. Results. There were 261 charts reviewed, only 64 had a confirmed viral etiology: 34 (53%) hepatitis B (HBV), 16 (25%) hepatitis C (HCV), 4 (6.3%) hepatitis A (HAV), 7 (11%) cytomegalovirus (CMV), and 3 (4.7%) Epstein-Barr virus (EBV). Children with HBV presented at a mean age of 6.4 ± 4.6 years. Spontaneous seroconversion (appearance of HBVeAb and loss of HBVeAg) occurred in 21/34 (61.7%). Children with acute hepatitis (HAV, CMV, and EBV) presented with mild abdominal pain, jaundice, and fevers. Overall outcome was excellent. Conclusion. Acute and chronic hepatitis in children has a benign course; moreover, HBV spontaneous seroconversion is common in pediatric patients.

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