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Curriculum · Gastroenterology

Hepatitis D

What it is

Hepatitis D is an incomplete RNA virus that requires hepatitis B surface antigen to complete its replication and transmission cycle. It cannot therefore stand alone: HDV coinfection only occurs with HBV, and it may also superinfect a patient who already carries HBV.

Causes and risk

HDV is transmitted in a similar fashion to hepatitis B, by exchange of bodily fluids. It is found in IVDA, and the risk is high in an HBsAg carrier.

How it is diagnosed

Two tests are given for the diagnosis: reverse PCR of hepatitis D RNA, and Anti-HDV IgM.