Does 4 years old darling have second liver but asymptomatic?

summary

Schools, kindergartens found in children with hepatitis, should immediately report to the relevant epidemic prevention departments, and under the guidance of the relevant departments of the child's classroom disinfection, and medical observation of the child. That 4 years old darling has second liver but without symptom? Let's talk about it.

Does 4 years old darling have second liver but asymptomatic?

1、 Acute hepatitis B without jaundice hepatitis B: no jaundice is far more than jaundice, but it is not easy to find. It is often a subclinical disease with only mild elevation of serum transaminase; Or have anorexia, nausea, low fever, discomfort and other non liver specific symptoms; Even if there are obvious symptoms, because there is no jaundice, it may be misdiagnosed as upper respiratory tract infection, acute gastroenteritis. Icteric hepatitis B: the clinical process is also more moderate than hepatitis A. Jaundice most have fever, a few children can have high fever, most only lasted 1-3 days, a few can be 1 week. There may be nasal congestion, runny nose, cough, pharyngeal congestion and other respiratory symptoms. Gastrointestinal symptoms include loss of appetite, nausea and vomiting; Infants often have diarrhea, which is related to the decrease of bile acid and digestive function.

2、 Fulminant hepatitis B: less than 1% of children with acute hepatitis B develop fulminant hepatitis B, perinatal infection occurs in 2-6 months of neonatal period. Mothers of anti HBE (+) carriers may transmit pre-C variant virus, and children may lack immune tolerance factor HBeAg, which may lead to fulminant hepatitis B.

3、 Chronic hepatitis B: children with chronic HBV infection are mostly ASC, liver histology is normal, or only mild inflammation reaction inflammation, because of the symptoms of treatment is also mostly mild chronic hepatitis B. The symptoms were mild, the liver was slightly enlarged when it was normal, and the liver enzymes were mildly abnormal or intermittently abnormal. A small number of children suffer from chronic active hepatitis B, with a long course of disease, poor nutritional status and affected growth and development.

matters needing attention

The peak of HBsAg in children is 5-9 years old, while the peak of antibody positive rate is 10-15 years old; The positive rates of surface antigen and e antigen in serum were higher than those in adults. In addition, 20% - 30% of children with chronic hepatitis B will have extrahepatic manifestations, especially renal damage and rash.