Identification of elderly hepatitis B and other liver diseases
1, progressive chronic liver disease: elderly hepatitis B is easily misdiagnosed.
Chronic HBV infection can develop potentially, and it is obvious symptoms in old age. It is already chronic hepatitis B and even cirrhosis.
These patients may have recurrent liver disease symptoms, and careful examination may reveal some manifestations of chronic liver disease.
In chronic hepatitis B, cirrhosis progresses to HCC, which is a continuation of complications and can be missed.
2, other hepatobiliary diseases: the elderly have a higher incidence of liver disease, it is necessary to carry out differential diagnosis between different liver diseases.
Alcoholic liver disease and drug-induced liver disease are absent in the elderly; severe cardiovascular disease often causes liver damage in elderly, and even cardiogenic cirrhosis; autoimmune hepatitis, primary biliary cirrhosis, α1 anti-plasma deficiency,Idiopathic hemochromatosis to advanced age may have progressive liver disease with corresponding characteristic serological manifestations.
Liver biopsy contributes to the mutual identification of the aforementioned liver diseases.
Gallstones are common in the elderly, the pain can be very mild, and there is also an increase in jaundice and ALT.
As long as you think about these possibilities, you can avoid misdiagnosis by performing corresponding image examinations.
3, tumor: some tumors and biliary diseases can be misdiagnosed as hepatitis; liver cancer, ampullary cancer, cholangiocarcinoma mostly occur in 60-70 years old, onset attack, fatigue, loss of appetite, jaundice, hepatomegaly, ALT and ALPHigh, there are many similarities with the symptoms of senile hepatitis.