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An update on the management of chronic hepatitis D

Gastroenterology Report 2019年第6期7卷 396-402,I0001页

作者： Pir Ahmad Shah Saad Choudhry karen j.campoverde reyes Daryl T.Y.Lau Division of Gastroenterology Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Neuroendocrine Unit Massachusetts General HospitalHarvard Medical SchoolBostonMAUSA

Hepatitis D virus(HDV)infection is associated with severe liver-related morbidity and *** prevalence of HDV is rising especially among people who abuse drugs and immigrants from endemic *** diagnostic assays with enhanced sensitivity and specificity are essential for screening at-risk *** recently,interferon has been the only treatment for hepatitis *** efficacy is,however,limited and it is associated with significant side effects.A number of novel antiviral agents that target various stages of the HDV life cycle show promising *** are currently in different phases of clinical *** review focuses on the changing epidemiology,novel therapeutic agents,and updated management of chronic hepatitis delta.

关键词： chronic hepatitis D HDV therapy HDV diagnostics interferon myrcludex B lonafarnib

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Improved hepatitis A and hepatitis B vaccination strategy is necessary for patients with chronic hepatitis C

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Gastroenterology Report 2020年第4期8卷 326-328,I0003页

作者： Muhammad H.Maqsood Himabindu Kolli Satinder P.Kaur karen j.campoverde reyes javier Guevara Pir A.Shah Arslan Talat Daryl T.Y.Lau Division of Gastroenterology Liver Research CenterBeth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA

Introduction Hepatitis C virus(HCV)is a major cause of chronic liver *** A virus(HAV)or hepatitis B virus(HBV)infection on pre-existing hepatitis C can lead to significant morbidity and mortality[1].The Advisory Committee on Immunization Practices(ACIP)recommends HAV and HBV vaccination for patients with chronic liver diseases[2,3].Best-practice advice from the American College of Physicians and the Centers for Disease Control and Prevention(CDC)also emphasized the importance of HBV vaccination for at-risk populations[4].The hepatitis B vaccine response,however,is generally lower among patients with chronic liver diseases,especially those with cirrhosis or older age[5,6].In this study,we reported that a high proportion of patients with chronic hepatitis C remained at risk of HAV or HBV infection at their referral to our tertiary Liver Center.

关键词：乙肝疫苗 diseases infection

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A challenging case of alpha-fetoprotein-result discrepancies in a patient with chronic hepatitis B

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Gastroenterology Report 2020年第6期8卷 484-486,I0003页

作者： Pir A.Shah Allison Onken Rizwan Ishtiaq Muhammad H.Maqsood Shyam S.Patel karen j.campoverde reyes Adrianna Z.Herskovits Daryl T.Y.Lau Department of Medicine Liver CenterDivision of GastroenterologyBeth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA Department of Pathology Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonMAUSA

Introduction Alpha-fetoprotein(AFP)is the most abundant serum protein found in the human fetus,produced by the yolk sac and the liver[1].The levels of maternal serum AFP reach a peak value at28-32 weeks of gestation and decrease rapidly after birth and usually drop to the normal at 8-12 months of *** normal serum AFP level for an adult is<20 ng/mL[2].In contrast,livertumor cells usually synthesize and secrete an increased level of *** ultrasound and AFP are generally recommended as the screening modality for HCC for patients at risk for development of hepatocellular carcinoma(HCC)[1].AFP-L3,an isoform of AFP that binds Lens culinaris agglutinin,can be particularly useful in the early identification of aggressive HCC[2].These assays,however,can generate false-positive and false-negative AFP *** patients with advanced HCC,20%had normal AFP levels,whereas some patients with liver diseases had significant AFP elevation without liver cancer in long-term surveillance[3].Elevated AFP levels could be associated with active liver diseases with hepatocyte regeneration[4,5].In that setting,the AFP level will decline with improvement of the underlying liver *** case illustrated the dilemma and uncertainties as a result of persistent abnormal AFP values after extensive clinical investigations.

关键词：甲胎蛋白 fetus false

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Management of chronic hepatitis B during pregnancy

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Gastroenterology Report 2018年第4期6卷 257-262,I0001页

作者： Aysha Aslam karen joanie campoverde reyes Vijayram Reddy Malladi Rizwan Ishtiaq Daryl T.Y.Lau Liver Center Division of Gastroenterology and HepatologyDepartment of MedicineBeth Israel Deaconess Medical CenterBostonMassachusettsUSA Neuroendocrine Unit Department of MedicineMassachusetts General HospitalBostonMassachusettsUSA

Chronic hepatitis B is globally prevalent and is a major cause of cirrhosis and hepatocellular *** immunoprophylaxis against hepatitis B in pregnancy,perinatal transmission still occurs in at least 10%of the children born to a mother with high level of *** regarding hepatitis B therapy during pregnancy must take into account the benefits and safety for both the mother and the unborn *** this review,we summarize the current treatment options for chronic hepatitis B with a focus on management during pregnancy and the evidence-based strategies to prevent vertical transmission of hepatitis B virus(HBV).

关键词： Chronic hepatitis B pregnancy nucleoside analogue hepatitis B therapy

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