Repercusiones en el manejo odontologico de pacientes con hepatitis.
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2014-07
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La hepatitis B es causada por el virus del mismo nombre (VHB). El
paciente presenta ictericia, acolia, coluria, astenia, adinamia,
anorexia, distensión abdominal, lienteria, nàuseas y vòmitos sin
fiebre. Blumberg y colaboradores detectaron y7 caracterizaron al
nuevo virus. Ademas de hepatitis postranfucional puede causar
epidemias por transmicion sexual, alimentos y en las zonas
endemicas, perinatal. Trabajos en Asia, América y África
demostraron relacion del VHB con cirrosis macro y micronodular,
hepatocarcinoma. Se presenta una parte de nuestra modesta
contribución en Colombia. Varias vacunas están en uso clinico y se
describen en el artículo. El tratamiento con inmunomodulares como
interfero0nes y antivirales inespecificos como rivabirina,
isoprinosine, lamivudina, adefovir, entecavir, tenofovir, emtricitabina,
devudina, alamifovir se comenta en el articulo. La respuesta a
antivirales depende del subtipo y genotipo del VHB y mutaciones
inducidas por el tratamiento. Esto y progresos en metodos
diagnosticos en los cinco ultimos años renovaran el interes para
estudiar las mutaciones naturales y espontaneas de VHB, sus
genotipos, subtipos y respuesta inmune que se revisan
Hepatitis B is caused by the virus of the same name (HBV). The patient has jaundice, acolia, dark urine, fatigue, weakness, anorexia, abdominal distension, lienteria, nausea and vomiting without fever. Blumberg and colleagues detected y7 characterized the new virus. Besides postranfucional hepatitis epidemics can cause sexual transmicion, food and the endemic, perinatal areas. Jobs in Asia, America and Africa showed HBV relationship with macro and micronodular cirrhosis, hepatocellular carcinoma. Part of our modest contribution in Colombia is presented. Several vaccines are in clinical use and are described in the article. Treatment with immunomodulatory and antiviral interfero0nes as nonspecific as ribavirin, isoprinosine, lamivudine, adefovir, entecavir, tenofovir, emtricitabine, devudina, alamifovir discussed in the article. The answer depends on the subtype and antiviral HBV genotype and mutations induced by treatment. This and progress in diagnostic methods in the last five years renewed interest to study the natural and spontaneous mutations of HBV genotypes, subtypes and immune response are reviewed.
Hepatitis B is caused by the virus of the same name (HBV). The patient has jaundice, acolia, dark urine, fatigue, weakness, anorexia, abdominal distension, lienteria, nausea and vomiting without fever. Blumberg and colleagues detected y7 characterized the new virus. Besides postranfucional hepatitis epidemics can cause sexual transmicion, food and the endemic, perinatal areas. Jobs in Asia, America and Africa showed HBV relationship with macro and micronodular cirrhosis, hepatocellular carcinoma. Part of our modest contribution in Colombia is presented. Several vaccines are in clinical use and are described in the article. Treatment with immunomodulatory and antiviral interfero0nes as nonspecific as ribavirin, isoprinosine, lamivudine, adefovir, entecavir, tenofovir, emtricitabine, devudina, alamifovir discussed in the article. The answer depends on the subtype and antiviral HBV genotype and mutations induced by treatment. This and progress in diagnostic methods in the last five years renewed interest to study the natural and spontaneous mutations of HBV genotypes, subtypes and immune response are reviewed.
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Palabras clave
ATENCION ODONTOLOGICA, DIAGNOSTICO ORAL, HEPATITIS
Citación
MOSQUERA MONCAYO, ANDREA FABIOLA (2014) : Repercusiones en el manejo odontologico de pacientes con hepatitis.