Unresolved issues of immune tolerance in chronic hepatitis #B

During the natural course of chronic hepatitis B virus infection, immune-tolerant phase is characterized by high viral replication, the presence of HBV e antigen (HBeAg), and normal or minimally elevated serum alanine aminotransferase. Immune-tolerant phase is usually regarded as a benign course of the disease. International guidelines recommend observation rather than treatment during immune-tolerant phase. In this article, we review unresolved issues related to the … Continue reading Unresolved issues of immune tolerance in chronic hepatitis #B

#Obesity Is the Most Common Risk Factor for Chronic #liver Disease

Obesity has been associated with liver fibrosis, yet guidelines do not emphasize it as an independent risk factor in which to have a high index of suspicion of advanced disease.. ..We prospectively recruited patients from a primary care practice with hazardous alcohol use and/or type 2 diabetes and/or obesity. Subjects were invited for a transient #elastography reading. A threshold of ≥8.0 kPa defined an elevated … Continue reading #Obesity Is the Most Common Risk Factor for Chronic #liver Disease

#Alcohol Consumption and Risk of Liver #Cirrhosis A Systematic Review and Meta-Analysis

..There was no increased risk for occasional drinkers. Consumption of one drink per day in comparison to long-term abstainers showed an increased risk for liver cirrhosis in women, but not in men. The risk for women was consistently higher compared to men. Drinking ≥5 drinks per day was associated with a substantially increased risk in both women (relative risk [RR] = 12.44, 95% confidence interval … Continue reading #Alcohol Consumption and Risk of Liver #Cirrhosis A Systematic Review and Meta-Analysis