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Hepatitis in HIV
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Hepatitis in HIV
, AIDS Cholangiopathy
See Also
Hepatitis
Gastrointestinal Manifestations of HIV
HIV Complications
Epidemiology
Hepatomegaly
occurs in 50% of
AIDS
patients
Differential Diagnosis
Diffuse hepatocellular disease
Granuloma
tous hepatitis
Sclerosing
Cholangitis
syndrome
Cytomegalovirus
Cryptosporidium
Viral Hepatitis
(accelerated course to liver failure)
Hepatitis B
Hepatitis C
Strongly consider
Hepatitis C Antiviral Regimen
(90% sustained response)
http://www.hcvguidelines.org/unique-populations/hiv-hcv
Cholestatic hepatitis (consider occult infection)
Mycobacterium Avium Complex
(MAC)
Mycobacterium tuberculosis
Histoplasmosis
,
Coccidioidomycosis
Cryptococcus
Kaposi's Sarcoma
Non-Hodgkin's Lymphoma
HIV-associated
Peliosis Hepatitis
Drug induced cholestasis
Steatosis
(macrovesicular and microvesicular)
Nonalcoholic Fatty Liver
Alcohol
ic
Fatty Liver
Labs
Viral Hepatitis
serologies
Imaging
Right Upper Quadrant
Ultrasound
CT Abdomen and Pelvis
MRCP
or
ERCP
(indicated for signs of biliary obstruction)
Management
Avoid
Hepatotoxin
s (e.g.
Alcohol
)
Manage comorbidities
Alcohol Abuse
Obesity
Dyslipidemia
Insulin Resistance
Diabetes Mellitus
Prevention
Hepatitis A Vaccine
Hepatitis B Vaccine
References
Chu (2017) Am Fam Physician 96(3): 161-9 [PubMed]
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