HBeAg negative chronic hepatitis B in South Asia

Chronic Hepatitis B (CHB) infection has an intermediate prevalence rate in South Asian countries, except for Nepal and Sri Lanka where it has a low rate. HBeAg negative CHB infection has been found to be more pronounced in this part of the world. As described previously, CHB infection has two phases...

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Main Authors: Ananta Shrestha, Thupten Kelsang Lama, Sudhamshu KC, Dilip Sharma, Sandip Khadka, Guru Prasad Dhakal, Birendra Prasad Gupta
Format: Article
Language:English
Published: Khesar Gyalpo University of Medical Sciences of Bh 2016-11-01
Series:Bhutan Health Journal
Online Access:https://bhj.com.bt/index.php/bhj/article/view/30
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author Ananta Shrestha
Thupten Kelsang Lama
Sudhamshu KC
Dilip Sharma
Sandip Khadka
Guru Prasad Dhakal
Birendra Prasad Gupta
author_facet Ananta Shrestha
Thupten Kelsang Lama
Sudhamshu KC
Dilip Sharma
Sandip Khadka
Guru Prasad Dhakal
Birendra Prasad Gupta
author_sort Ananta Shrestha
collection DOAJ
description Chronic Hepatitis B (CHB) infection has an intermediate prevalence rate in South Asian countries, except for Nepal and Sri Lanka where it has a low rate. HBeAg negative CHB infection has been found to be more pronounced in this part of the world. As described previously, CHB infection has two phases with HBeAg positive and HBeAg negative based on ALT, DNA & biopsy. The latter was previously described to have a benign course. The later guidelines have distinguished HBeAg negative status into two categories with an inactive phase and a reactivation one. In this review article we have highlighted HBeAg Negative status burden in South Asian countries and shown that HBeAg negative CHB infection may not be as benign as previously thought. Furthermore , mutations at precore and basal core promoter region may contribute to disease severity in HBeAg negative CHB infection.
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spelling doaj.art-7da19950bbbe4031b6d76965ac235ebf2023-10-25T10:27:38ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142016-11-0122162210.47811/bhj.2930HBeAg negative chronic hepatitis B in South AsiaAnanta Shrestha0Thupten Kelsang Lama1Sudhamshu KC2Dilip Sharma3Sandip Khadka4Guru Prasad Dhakal5Birendra Prasad Gupta6Liver Foundation, Nepal.Department of Medicine, Hepatology wing, Civil Service hospital, Nepal.Department of Hepatology, NAMS, Bir Hospital, Nepal.Department of Hepatology, NAMS, Bir Hospital, Nepal.Department of Hepatology, NAMS, Bir Hospital, Nepal.Department of Medicine, Jigme Dorji Wangchuck National Referral Hospital, Bhutan.Central Department of Biotechnology, Tribhuvan University, Nepal.Chronic Hepatitis B (CHB) infection has an intermediate prevalence rate in South Asian countries, except for Nepal and Sri Lanka where it has a low rate. HBeAg negative CHB infection has been found to be more pronounced in this part of the world. As described previously, CHB infection has two phases with HBeAg positive and HBeAg negative based on ALT, DNA & biopsy. The latter was previously described to have a benign course. The later guidelines have distinguished HBeAg negative status into two categories with an inactive phase and a reactivation one. In this review article we have highlighted HBeAg Negative status burden in South Asian countries and shown that HBeAg negative CHB infection may not be as benign as previously thought. Furthermore , mutations at precore and basal core promoter region may contribute to disease severity in HBeAg negative CHB infection.https://bhj.com.bt/index.php/bhj/article/view/30
spellingShingle Ananta Shrestha
Thupten Kelsang Lama
Sudhamshu KC
Dilip Sharma
Sandip Khadka
Guru Prasad Dhakal
Birendra Prasad Gupta
HBeAg negative chronic hepatitis B in South Asia
Bhutan Health Journal
title HBeAg negative chronic hepatitis B in South Asia
title_full HBeAg negative chronic hepatitis B in South Asia
title_fullStr HBeAg negative chronic hepatitis B in South Asia
title_full_unstemmed HBeAg negative chronic hepatitis B in South Asia
title_short HBeAg negative chronic hepatitis B in South Asia
title_sort hbeag negative chronic hepatitis b in south asia
url https://bhj.com.bt/index.php/bhj/article/view/30
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