Significance of changes in hepatic histology from patients with HBeAg(+)or HBeAg(-)chronic hepatitis B and normal or mildly elevated alanine aminotransferase
10.3969/j.issn.1001-5256.2015.04.008
- VernacularTitle:ALT正常或轻度升高的HBeAg阳性和阴性慢性乙型肝炎肝组织学变化的再关注
- Author:
Lin LAN
;
Yin KONG
;
Lingyi ZHANG
- Publication Type:Journal Article
- Keywords:
hepatitis B,chronic;
hepatitis B e antigens;
alanine transaminase;
histology
- From:
Journal of Clinical Hepatology
2015;31(4):510-513
- CountryChina
- Language:Chinese
-
Abstract:
Alanine aminotransferase (ALT)abnormality is an indicator of the degree of liver inflammation caused by immune activation in patients with chronic hepatitis B (CHB).However,approximately half of the CHB patients with normal or mildly elevated ALT levels have concealed significant changes in hepatic histology.CHB patients with normal or mildly elevated ALT levels may have significant histopatho-logical changes in hepatic tissues,and those changes vary between HBeAg(+)and HBeAg(-)CHB patients.Attention and investigation on the clinical management of CHB patients with normal or mildly elevated ALT levels may have great significance in grasping the right treat-ment opportunity and reducing the risk of liver cirrhosis.