Liver diseases in internal medicine outpatient clinics

Česká verzia

Authors: P. Husa
Authors place of work: Klinika infekčních chorob Lékařské fakulty MU a FN Brno, pracoviště Bohunice, přednosta prof. MUDr. Petr Husa, CSc.
Published in the journal: Vnitř Lék 2011; 57(9): 697-701
Category: 65th birthday Mudr. Jany Laciné and and 60th birthday Milana Tržila

Summary

Patients with a suspected or confirmed liver disease are frequent attendees at internal medicine outpatient clinics. Metabolic and toxic liver lesions are presently much more prevalent than infectious liver diseases. Liver steatosis and drug-induced liver impairment are the most frequent. The main task for internal medicine specialists in primary care with respect to chronic viral hepatitis B and C is to keep these diseases in mind and when an increased alaninaminotranspherase activity is detected, to perform blood tests for the presence of HBsAg as well as anti-HCV antibodies. Epidemiologically high-risk patients should always be tested for the presence of HBsAg and anti-HCV (even with normal ALT activity).

Key words:
acute liver diseases – chronic liver diseases – viral hepatitis

Zdroje

1. Husa P. Virové hepatitidy. 1. vyd. Praha: Galén 2004.

2. Schiano TD, Black D. Drug-induced and toxic liver disease. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 103–124.

3. Czaja AJ. Autoimmune hepatitis. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 59–84.

4. Garcia G, Keeffe EB. Acute liver failure. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 17–28.

5. Koteish A, Diehl AM. Alcoholic liver disease. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 85–94.

6. Ehrmann J, Schneiderka P, Ehrmann J et al. Alkoholem podmíněné jaterní onemocnění. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 297–318.

7. Trunečka P. Nealkoholická steatóza a steatohepatitida. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 331–338.

8. Neuschwander-Tetri BA, Bacon BR. Fatty liver and nonalcoholic steatohepatitis. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 95–102.

9. Husa P, Husová L. Chronické virové hepatitidy v ordinaci praktického lékaře. Spolupráce praktika a hepatologa. Praha: Triton 2002.

10. Horák J. Primární biliární cirhóza. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 288–291.

11. Kaplan MM, Lee YM. Primary biliary cirrhosis. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 185–198.

12. Vaňásek T. Primární sklerózující cholangitida. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 292–296.

13. Wiesner RH. Primary sclerosing cholangitis. In: Friedman LS, Keeffe EB (eds). Handbook of Liver Disease. Philadelphia: Churchill Livingstone 2004: 199–210.

14. Horák J. Genetická hemochromatóza. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 339–346.

15. Mareček Z, Brůha R. Wilsonova choroba. In: Ehrmann J, Hůlek P et al (eds). Hepatologie. Praha: Grada Publishing 2010: 347–356.