Hepatitis E: What’s New?

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HEV Diagnosis Acute HEV Chronic HEV Immuno competent Immuno compromised HEV-RNA in serum IgM anti-HEV HEV-RNA Baylis SA, et al. J Clin Microbiol 2011; 49:1234. Khudyakov Y, Kamili S. Virus Res 2011; 161:84. HEV-RNA in serum IgG anti-HEV Ab marker of exposure titers decline with time

Treatment of HEV Immune Status Stage of disease Acute HEV • Supportive treatment. • Fulminant hepatic failure require LTx. • RBV monotherapy in CLD patients & those on IS therapy or chemotherapy. • ??Improvement: spontaneous or due to RBV. Dalton HR, et al. Nat Rev Neurol 2016; 12:77. Del Bello A, et al. Transpl Infect Dis 2015; 17:279. Blasco-Perrin H, et al. Aliment Pharmacol Ther 2015; 42:574.

HEV Diagnosis<br />

Acute HEV<br />

Chronic HEV<br />

Immuno<br />

competent<br />

Immuno<br />

compromised<br />

HEV-RNA in serum<br />

IgM anti-HEV<br />

HEV-RNA<br />

Baylis SA, et al. J Clin Microbiol 2011; 49:1234.<br />

Khudyakov Y, Kamili S. Virus Res 2011; 161:84.<br />

HEV-RNA in<br />

serum<br />

IgG anti-HEV Ab<br />

marker of exposure<br />

titers decline with time

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