Acute hepatitis C

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  • Document introduction of content: Definition Introduction and key points ,acute hepatitis A, acute hepatitis B, acute hepatitis C, acute hepatitis B, acute hepatitis E, references, useful websites, queries and feedback.

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  • The hepatitis C virus (HCV) infection is a significant cause of morbidity and mortality worldwide. Infection with HCV becomes chronic in more than 80% of cases and it accounts for 20% of all cases of acute hepatitis. The hepatitis C virus was first identified by the molecular cloning of the virus genome in 1989.

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  • Hepatitis C virus is a human pathogen responsible for liver diseases includ-ing acute and chronic hepatitis, cirrhosis and hepatocellular carcinoma. Its high prevalence, the absence of a prophylactic vaccine and the poor effi-ciency of current therapies are huge medical problems. Since the discovery of the hepatitis C virus, our knowledge of its biology has been largely punctuated by the development of original models of research.

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  • and SpA may be found in 1- 12% of patients with Crohn`s Disease and Ulcerative Colitis, with higher incidence of peripheral arthritis; sacroiliitis may occur asymptomatic or with typical symptoms. Reactive arthritis tends to be more aggressive and as a longer duration in HLA-B*27 positive cases (50%). Asymmetrical acute peripheral arthritis, enthesitis, acute sacroiliitis, urogenital inflammation, and ocular manifestations are common and may last several months to two years.

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  • Palpable purpura are further subdivided into vasculitic and embolic. In the group of vasculitic disorders, cutaneous small-vessel vasculitis, also known as leukocytoclastic vasculitis (LCV), is the one most commonly associated with palpable purpura (Chap. 319). Underlying etiologies include drugs (e.g., antibiotics), infections (e.g., hepatitis C virus), and autoimmune connective tissue diseases. Henoch-Schönlein purpura is a subtype of acute LCV that is seen primarily in children and adolescents following an upper respiratory infection.

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  • Table 54-14 Causes of Urticaria and Angioedema I. Primary cutaneous disorders A. Acute and chronic urticariaa B. Physical urticaria 1. Dermatographism 2. Solar urticariab 3. Cold urticariab 4. Cholinergic urticariab C. Angioedema (hereditary and acquired)b II. Systemic diseases A. Urticarial vasculitis B. Hepatitis B or C infection C. Serum sickness D. Angioedema (hereditary and acquired) a A small minority develop anaphylaxis. b Also systemic. The common physical urticarias include dermographism, solar urticaria, cold urticaria, and cholinergic urticaria.

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