Viral hepatitis E: Clinical manifestations, treatment, and prevention

Qiumin Luo , Jia Chen , Yeqiong Zhang , Wenxiong Xu , Ying Liu , Chan Xie , Liang Peng

Liver Research ›› 2024, Vol. 8 ›› Issue (1) : 11 -21.

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Liver Research ›› 2024, Vol. 8 ›› Issue (1) :11 -21. DOI: 10.1016/j.livres.2024.01.001
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Viral hepatitis E: Clinical manifestations, treatment, and prevention

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Abstract

Hepatitis E is a globally distributed infection that varies in seroprevalence between developed and developing regions. In the less developed regions of Asia and Africa, a high seropositivity rate has been reported for hepatitis E virus (HEV) antibodies. Although acute hepatitis E is often self-limited and has a favorable prognosis, some populations experience severe manifestations, which may progress to liver failure. Moreover, some immunocompromised patients are at risk of developing chronic HEV infection and cirrhosis. Proactive screening, reducing misdiagnosis, improving patient management, timely antiviral therapy for severe and chronic cases, and vaccination of high-risk groups are important measures to reduce the morbidity of hepatitis E. This review focused on the clinical presentation, management, and prevention of hepatitis E.

Keywords

Hepatitis E / Chronic hepatitis / Screening / Antiviral therapy / Vaccination

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Qiumin Luo, Jia Chen, Yeqiong Zhang, Wenxiong Xu, Ying Liu, Chan Xie, Liang Peng. Viral hepatitis E: Clinical manifestations, treatment, and prevention. Liver Research, 2024, 8(1): 11-21 DOI:10.1016/j.livres.2024.01.001

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Authors' contributions

Qiumin Luo and Jia Chen contributed equally to this work and should be considered co-first authors. Qiumin Luo: Writing -original draft, Writing - review & editing. Jia Chen: Writing -original draft. Yeqiong Zhang: Writing - review & editing. Wen-xiong Xu: Supervision, Writing - review & editing. Ying Liu: Conceptualization, Writing - review & editing. Chan Xie: Project administration. Liang Peng: Conceptualization, Funding acquisi-tion. All authors have read and agreed to the published version of the manuscript.

Declaration of competing interest

The authors declare that they have no conflict of interest.

Acknowledgments

This work was supported by grants from the Natural Science Foundation of China (No.82070611), Natural Science Foundation of Guangdong Province (2020A1515010317), Guangdong Basic and Applied Basic Research Foundation (No. 21202104030000608 and 2021A1515220029), Guangzhou Science and Technology Plan Pro-jects (No. 202102010204 and 2023B03J1287), Guangzhou Science and Technology Program Key Projects (No. 2023B01J1007), Sun Yat-sen University Clinical Research 5010 Program (No. 2020007 and 2018009), Transformation of Scientific and Technological Achieve-ments Project of Sun Yat-sen University (No. 82000-18843236), and the Five-Year Plan of the Third Affiliated Hospital of Sun Yat-sen University (No.K00006 and P02421).

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