What Does A Hepatitis Rash Look Like
Acute and chronic infection with hepatitis C leads to liver damage and can also cause other health problems called extrahepatic manifestations of chronic hepatitis C infection. Extrahepatic means apart from the liver. People with hepatitis C can develop blood, immune system, kidney, and skin problems.
Treating Hepatitis C Treats A Hepatitis Rash
Treating hepatitis C is often the only thing needed to clear up a rash associated with hepatitis C.
Previously, people were treated with interferon and another antiviral called ribavirin. The treatment combination has significant side effects, including skin rashes.
Therefore, newer agents called direct-acting antivirals are recommended. These newer agents are very well tolerated and have fewer side effects. Speaking with a healthcare provider to determine which therapies are best for you is essential.
Who Gets Skin Changes Related To Viral Hepatitis
Viral hepatitis due to hepatotrophic viruses can be divided into acute and chronic forms.
- Acute viral hepatitis
Skin changes are found in up to 17% of HCV-positive patients.
HDV is usually a co-infection in patients with chronic HBV accelerating progression to early liver failure.
HEV is the most common cause of acute viral hepatitis worldwide, although it is often asymptomatic or only mildly symptomatic with jaundice following a prodromal phase. It can progress to chronic infection in immunocompromised patients.
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How Is Hepatitis Treated
Someone who has hepatitis will need to drink enough fluids, eat healthy foods, and get rest. The person’s family members may need to get hepatitis vaccines, if they haven’t already.
Later on, the person will get follow-up blood tests. Often the blood tests will show that the person no longer has hepatitis. Sometimes, the blood tests may show that someone is now a carrier of hepatitis he or she won’t have hepatitis symptoms, but could pass the infection to other people.
Sometimes, blood tests will continue to show that some people still have hep B or C, which means they may have chronic hepatitis. If so, they will need to eat healthy foods and take very good care of themselves by getting rest and visiting the doctor regularly. In some cases, someone with chronic hepatitis may get special medicine for the condition.
We hope that this heads-up on hepatitis will help you stay safe. It may sound funny, but you can love your liver by washing your hands and making smart choices!
What Are The Complications Of Hepatitis B
The course of hepatitis B infection depends mostly on the age at which a person is infected.
People infected as infants are likely to develop long term infection and can get complications such as scarring of the liver or liver cancer. Infants have a 9 in 10 chance and children have a 3 in 10 chance of developing a chronic, lifelong infection.
People infected as teenagers or adults are likely to become unwell with symptoms , but have a smaller chance of developing a chronic infection. Others develop a silent infection, without any symptoms.
Most people infected as adults clear the virus from the body within 6 months. They develop immunity to future hepatitis B infections and do not develop long-term liver damage.
However, approximately 1 in 20 adults cannot clear the virus and develop chronic hepatitis B. They are at risk of developing complications such as cirrhosis and liver cancer in the longer term.
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Early Hepatitis C Symptoms
Hepatitis C is typically transmitted through exposure to infected blood, which usually occurs through sharing needles. Many people with a new hepatitis C viral infection do not have any symptoms. When symptoms do occur, they can include:
These symptoms usually begin about two to 12 weeks after exposure to the virus.
Does Hepatitis A Always Cause Symptoms
There’s a lot of variety in how people feel when they have the disease. It’s possible you might not have any symptoms. But people often feel and look sick. You might even need to go to the hospital.
Symptoms and complications are more common as you get older. Most children under age 6 with hep A don’t have any.
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Treatment: Chronic Hepatitis B
The goal of treating chronic hepatitis B is to control the virus and keep it from damaging the liver. This begins with regular monitoring for signs of liver disease. Antiviral medications may help, but not everyone can take them or needs to be on medication. Be sure to discuss the risks and benefits of antiviral therapy with your doctor.
Key Points About Hepatitis In Children
Hepatitis is an inflammation of the liver. It can damage and destroy liver cells.
Hepatitis in children can be caused by many things. Your child can get hepatitis by being exposed to a virus that causes it.
There are 5 main types of the hepatitis virus: A, B, C, D, and E.
The most common symptoms of hepatitis include a yellowish color to the skin and whites of the eyes and flu-like symptoms.
Some children don’t have any symptoms.
Getting vaccinated and having good hygiene can prevent hepatitis.
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What Do Hepatitis Symptoms Look Like In Children
The C.D.C. issued an alert after clusters of severe hepatitis cases popped up among children around the globe. What signs should parents watch out for?
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The Centers for Disease Control and Prevention issued an alert on Thursday to physicians nationwide notifying them of a cluster of severe and unexplained hepatitis cases in otherwise healthy young children.
Between October 2021 and February 2022, nine children between the ages of 1 and 6 in Alabama were admitted to the hospital with acute hepatitis two required liver transplants.
Similar cases have also popped up in North Carolina, as well as in Europe. The U.K. Health Security Agency has reported more than 100 cases of sudden-onset hepatitis in children under 10 since January 2022, 10 of whom required liver transplants.
Heres what we know about these hepatitis cases, and what symptoms parents should watch for.
Diagnosis Of Hepatitis B
Blood tests are available to determine if you are or have been infected with hepatitis B. It may take 6 months from the time of infection before a blood test can detect antibodies to hepatitis B, so follow-up testing may be required. During this 6-month period, until you know whether you are infected or not, take action to prevent potential infection of other people.
There are also tests that can assess liver damage from hepatitis B. The interpretation of these tests can be complicated and specialist advice is needed, so talk to your doctor.
All pregnant women are tested for hepatitis B. If you are found to have chronic hepatitis B, your doctor can help reduce the risk of transferring the infection to your newborn child.
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Symptoms Of A Chronic Infection
If the hepatitis C infection progresses to a chronic infection , it can take years before symptoms develop. Symptoms of advanced liver disease caused by long-term chronic infection can include: jaundice fluid build-up and blood in stool or vomit. Sleep disturbances, depression, weight loss, dry or itchy skin, and brain fog also occur in people with chronic hepatitis C but the cause of these symptoms remains uncertain.
Hepatitis B: How Does It Spread
You can get it through contact with the blood or body fluids of an infected person. In the U.S., it’s most often spread through unprotected sex. It’s also possible to get hepatitis B by sharing an infected person’s needles, razors, or toothbrush. And an infected mother can pass the virus to their baby during childbirth. Hepatitis B is not spread by hugging, sharing food, or coughing.
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What Are The Symptoms Of Hepatitis A
You can get the first symptoms anytime between 15 and 50 days after you came in contact with the virus. But they usually show up between about 2 and 4 weeks later.
Most people with hepatitis A usually have sudden:
- Extreme tiredness
If your child has hep A, they may also have:
If you’re over age 50 or have a long-term liver disease, you may have a more severe case of the disease called fulminant hepatitis A infection. You could have symptoms like:
- Spontaneous bleeding or easy bruising
- Confusion and changes in alertness
- Liver function that gets worse
- Yellowing of the skin and eyes that gets worse
Hepatitis A: How Does It Spread
It usually spreads through food or water. Food can be tainted when it’s touched by a person with hepatitis who did not wash their hands after using the bathroom. This transfers tiny amounts of infected stool to the food. Raw shellfish, fruits, vegetables, and undercooked foods are common culprits in hepatitis A outbreaks. The virus can also spread in daycare centers if employees aren’t careful about washing hands after changing diapers.
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When To See A Healthcare Provider
If you develop any of the symptoms of chronic hepatitis, liver damage, or liver cancer, see your healthcare provider. It takes only a blood test to detect the presence of a hepatitis virus in your body .
A blood test also can determine which hepatitis virus you’re infected with, which will determine what your treatment should be .
Symptoms Of Hepatitis B
Some people who are infected with the hepatitis B virus have mild, flu-like symptoms and some do not become sick at all. Children who are infected are less likely to have an illness or get sick after getting hepatitis B than adults.
In more severe cases, hepatitis B can cause:
- Loss of appetite.
- Pain in the joints.
Normally, these health problems disappear in a few weeks, but even when the person feels much better, they may still be infectious.
Most adults who become infected with the hepatitis B virus recover completely and do not become infected again. A few people become very ill in the time just after infection and need to go to hospital some may even die.
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Hepatitis A: What Happens
Hepatitis A is highly contagious and can spread from person to person in many different settings. It typically causes only a mild illness, and many people who are infected may never realize they’re sick at all. The virus almost always goes away on its own and does not cause long-term liver damage.
Deterrence And Patient Education
Patient education remains one of the most important components in preventative measures regarding HBV infection.
Education should be provided to expecting parents about the importance of vaccination and to clarify erroneous beliefs about vaccinations.Patient education should also include counseling about the avoidance of risky behaviors that predispose an individual to be infected, including promiscuous sexual activity or intravenous drug abuse. They should also be advised not to share items such as shaving razors, toothbrushes, or hair combs due to possible transmission via mucosal contact or through microtrauma to protective barriers.
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Easy Bruising And Bleeding
In the advanced stages of hepatitis C, you may see easy bruising and excessive bleeding for no apparent reason. Abnormal bruising is believed to be the result of the liver slowing the production of platelets, or proteins needed to clot blood.
In more serious cases, there can be excessive bleeding of the nose or gums, or blood in the urine.
Who Is At Risk
Anyone who has not been vaccinated or previously infected can get infected with the hepatitis A virus. In areas where the virus is widespread , most hepatitis A infections occur during early childhood. Risk factors include:
- poor sanitation
- living in a household with an infected person
- being a sexual partner of someone with acute hepatitis A infection
- use of recreational drugs
- travelling to areas of high endemicity without being immunized.
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Hepatitis C: What Happens
About 25% of people who get hepatitis C defeat the virus after a short-term infection. The rest will carry the virus in their body for the long term. Chronic hepatitis C can cause very serious complications, including liver failure and liver cancer. There are effective treatments for the virus, though.
Hepatitis C: How Does It Spread
It spreads through infected blood. In the U.S., sharing needles or other items used to inject drugs is the most common cause of infection. Getting a tattoo or body piercing with an infected needle is another means of exposure. A mother may pass the virus to their child at birth. In rare cases, unprotected sex spreads hepatitis C, but the risk appears small. Having multiple sex partners, HIV, or rough sex seems to raise risk for spreading hepatitis C.
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Other Signs Of Hepatitis C On Your Skin
Rashes and lesions may be common, but theyre not the only ways that hepatitis C can affect your skin. These are some other possible manifestations of hepatitis C on your skin, which can include:
- General itchy skin, also known as pruritis
- Lichen planus, which are little purple or reddish-purple flat bumps that can develop in a variety of places on your body, including your skin, mouth, genitalia, hair follicles, and nails
- Blisters and sensitive skin as a result of a condition called porphyria cutanea tarda
- Spider angiomas, which look like a spiderweb of thin blood vessels spreading across your skin
- Necrolytic acral erythema, series of dusky-colored skin plaques, which is rare but can be an early sign of hep C infection
What Causes Skin Changes With Viral Hepatitis
Skin changes in acute viral hepatitis can be nonspecific such as the itch secondary to jaundice. Chronic viral hepatitis can cause progressive liver failure and skin changes due to cirrhosis or hepatocellular carcinoma.
Skin changes seen with viral hepatitis can be due to:
- Direct viral infection of skin cells with viral particles detected in keratinocytes and lymphocytes
- Autoimmune origin as HCV is lymphotropic promoting B-cell proliferation and circulating autoantibodies can be detected
- Effects on the liver seen in acute viral hepatitis and subsequent chronic liver disease.
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How Do Doctors Treat Hepatitis B
Doctors typically dont treat hepatitis B unless it becomes chronic. Doctors may treat chronic hepatitis B with antiviral medicines that attack the virus.
Not everyone with chronic hepatitis B needs treatment. If blood tests show that hepatitis B could be damaging a persons liver, a doctor may prescribe antiviral medicines to lower the chances of liver damage and complications.
Medicines that you take by mouth include
A medicine that doctors can give as a shot is peginterferon alfa-2a .
The length of treatment varies. Hepatitis B medicines may cause side effects. Talk with your doctor about the side effects of treatment. Tell your doctor before taking any other prescription or over-the-counter medicines.
For safety reasons, you also should talk with your doctor before using dietary supplements, such as vitamins, or any complementary or alternative medicines or medical practices.
Here Are 5 Signs Of Hepatitis C Foot Damage
Would you recognize Hepatitis C foot damage if you were showing symptoms? Well, we hope you would. And were here to help!
As we celebrate World Hepatitis Day this month, we want you to know more about this diseaseand how it impacts your feet. Basically, this form of hepatitis is a virus that causes liver disease. Once you develop liver disease, you may start to notice symptoms in your feet, ranging from minor to severely painful issues. These can include swelling in your feet and ankles, neuropathy, arthritis and more.
Now, these are all areas where our highly trained Spring TX podiatrists can help. That was certainly the case for our patient Judy M, who recently shared this review:
When I first came to Dr. Walsh I was in terrible foot pain that was affecting my daily activities. I was tired of a swollen ankle and constant foot pain. Dr. Walsh performed a complete flat foot reconstruction which was an extensive surgery. Throughout my recovery, Dr. Walsh was wonderful-informative, responsive, encouraging and caring. She also educated/advised me on the right types of shoes to wear, Once recovered, I was able to return back to my normal activitiesI highly recommend Dr Walsh!
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When To Seek Medical Advice
See your GP if you persistently have any of the later symptoms listed, or if they keep returning. They may recommend having a blood test that can check for hepatitis C.
Read more about diagnosing hepatitis C
None of these symptoms mean you definitely have hepatitis C, but it’s important to get them checked out.
You should also speak to your GP about getting tested if there’s a risk you’re infected, even if you don’t have any symptoms. This particularly includes people who inject drugs or have done so in the past.
Read about the causes of hepatitis C for more information about who’s at risk of having the infection.
Page last reviewed: 27 October 2021 Next review due: 27 October 2024
Causes And Risk Factors
Hepatitis in children has many different origins or causes. A child may contract hepatitis from exposure to a viral source. The following is a list of some of the viruses associated with hepatitis:
- Hepatitis viruses. Five main types of the hepatitis virus have been identified, including hepatitis A, B, C, D, and E.
- Cytomegalovirus . This virus is a part of the herpes virus family that can be transmitted from person to person.
- Epstein-Barr virus . The virus most commonly associated with infectious mononucleosis.
- Herpes simplex virus . Herpes can involve the face and skin above the waist, or the genitalia.
- Varicella zoster virus . Also known as chickenpox, a complication of VZV is hepatitis, although these very rarely cause hepatitis in children or infants.
- Enteroviruses. A group of viruses commonly seen in children such as coxsackie viruses and echoviruses.
- Rubella. Caused by the Rubivirus, rubella is a mild disease that causes a rash. It can cause problems for the fetus if contracted during pregnancy.
- Adenovirus. A group of viruses that commonly cause colds, tonsillitis, and ear infections in children. They can also cause diarrhea.
- Parvovirus. A virus referred to as fifth disease, which is characterized by a facial rash that is described as having a “slapped-cheek” appearance.
The following is a list of some of the diseases that may cause acute or chronic hepatitis in children:
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