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Hepatitis in HIV

Epidemiology
1. Hepatomegaly occurs in 50% of AIDS patients
Differential Diagnosis of Hepatitis
1. Diffuse hepatocellular disease
2. Granulomatous hepatitis
3. Sclerosing Cholangitis syndrome
  1. Cytomegalovirus
  2. Cryptosporidium
4. Viral Hepatitis (accelerated course to liver failure)
  1. Hepatitis B
  2. Hepatitis C
5. Cholestatic hepatitis (think occult infection)
  1. Mycobacterium Avium Complex (MAC)
  2. Mycobacterium tuberculosis
  3. Histoplasmosis,
  4. Coccidioidomycosis
  5. Cryptococcus
  6. Kaposi's Sarcoma
  7. Non-Hodgkin's Lymphoma
  8. HIV-associated Peliosis hepatitis
  9. Drug induced cholestasis
  10. Steatosis (macrovesicular and microvesicular)
Labs
1. Viral Hepatitis serologies
Radiology
1. Right Upper Quadrant Ultrasound
2. CT abdomen
3. ERCP (indicated for signs of biliary obstruction)

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.