Info
🌱 來自: jaundice
Hepatocellular pattern
- Viral hepatitis: 🔎 Diagnosis: Viral serologies
- Hepatitis A, B, C, D, and E
- Epstein-Barr virus
- Cytomegalovirus
- Herpes simplex virus
- Alcoholic hepatitis
- Chronic liver disease and cirrhosis
- Drug toxicity 🔎 Diagnosis: Toxicology screen esp. Acetaminophen level
- Predictable, dose-dependent (e.g., acetaminophen)
- Unpredictable, idiosyncratic (e.g., isoniazid)
- Wilson disease 🔎 Diagnosis: Ceruloplasmin (if patient <40 years of age)
- Autoimmune hepatitis 🔎 Diagnosis: ANA, SMA, SPEP
- Environmental toxins of Hepatocellular pattern
Results negative →
- Additional virologic testing:
- CMV DNA,
- EBV capsid antigen,
- Hepatitis D antibody (if indicated)
- Hepatitis E lgM (if indicated)