Chronic Hepatitis B and Hepatitis D Virus Infection

被引:1
作者
Rusignuolo, Giuseppe [1 ,2 ]
Thimme, Robert [1 ]
Neumann-Haefelin, Christoph [1 ,2 ]
机构
[1] Uni Klin Freiburg, Klin Innere Med 2, Freiburg, Germany
[2] Gerok Leberzentrum, Freiburg, Germany
关键词
Hepatitis-B-Virus; Hepatitis-D-Virus; Therapie; antiviral; Entecavir; Tenofovir; Bulevirtid; hepatitis B virus; hepatitis D virus; therapy; entecavir; tenofovir; bulevirtide; BULEVIRTIDE; EFFICACY; PHASE-3; SAFETY; TRIAL;
D O I
10.1055/a-2057-1840
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Eine unbehandelte chronische Hepatitis-B-Virus-Infektion kann bis zur Leberzirrhose und zum hepatozellul & auml;ren Karzinom fortschreiten, was durch eine rechtzeitige Diagnose und eine antivirale Therapie verhindert werden kann. Eine Heilung ist bisher aber in der Regel nicht m & ouml;glich. Eine Koinfektion mit dem Hepatitis-D-Virus erh & ouml;ht das Risiko einer Leberzirrhose. Auch f & uuml;r die Hepatitis D steht inzwischen eine effektive Therapie zur Verf & uuml;gung. About 0,5% of the population in Germany has a chronic hepatitis B virus (HBV) infection. Untreated, chronic HBV infection can progress to liver cirrhosis and hepatocellular carcinoma (HCC). If diagnosed early, antiviral therapy can effectively prevent liver disease progression, but a cure is currently hardly achievable. About 5% of those chronically infected with HBV are also co-infected with the hepatitis D virus (HDV). HBV/HDV co-infection leads to liver cirrhosis in approximately 50% of patients within 5-10 years. Since 2020, the cell entry inhibitor bulevirtide is available as a specific therapy for HBV/HDV co-infection.
引用
收藏
页码:948 / 954
页数:7
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