A diagnosis allows the physician to determine the patient's condition. It is essential for decision-making (simple monitoring, treatment proposals, etc.) and is based on research identifying the cause and symptoms of the condition. During this time the patient describes his/her symptoms that helps the doctor to collect general information about the patient (treatment, history, allergies, etc.) This procedure is mainly based on 3 key phases of the medical consultation: the anamnesis, the physical examination and complementary tests.
Hepatitis D is a complex and transmissible disease, the diagnosis of which requires systematic screening of HBV patients (1).
Below mentioned information is required when dealing with a patient who is a chronic HBsAg carrier (1,2).
Is there a viral multiplication?
Is the aggravation of symptoms due to the presence of a co-infection?
- HIV and HCV serology
Is there a family history of severe liver disease?
What is the mode of transmission?
- Background analysis
- Risky practices and frequency
- Information on the country of birth (help for assessing the length of the infection)
Taking care of the entourage at risk (people living under the same roof, sexual partner, risky practices)
These practice recommendations are valid during an initial or follow-up visit. They are generally made monthly or quarterly during the first year of treatment and then every 6 months thereafter (3,4). Their frequency varies according to the patient's condition and medical results.
- Sherman M. Management of the Hepatitis B carrier. Trading all aspects of the infection. Can Fam Physician. 1992; 38: 569-570, 573-576.
- Terrault NA et al. AASLD Guidelines for Treatment of Chronic Hepatitis B. Hepatology 2016.
- Ahn J., Gish RG. Hepatitis D Virus: A Call to Screening. Gastroenterology & Hepatology. 2014; 10: 647-686.
- German Liver Aid eV. Hepatitis B. Page 23. https://www.leberhilfe.org/wp-content/uploads/2018/12/Brosch%C3%BCre-Hepatitis-B-dt-2018.pdf. June 2020