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Question: I was wondering what the long term prognosis is for Hepatitis. I have aco-worker who caught/cured this and now has seizures controlled bydrugs. I don't want to him ask, since it wouldn't be proper. What I do know is that is somewhat like distemper in dogs. The longterm prognosis for distemper is progressive brain damage (encephylitis). Is this the same prognosis for humans who have caught/cured with Hepatitis?
Answer: Without knowing which of the many hepatitises (technically, the plural is'Hepatitides', but this always sounded like an ancient name for aconstellation, so I refuse to use it except when mandated...) I cannotgive you an accurate answer. Generally, the scoop is as follows: Hepatitis 'A'--No long-term problems. (A tiny number die of the acute infection, though).Hepatitis 'B'--A certain percentage of people who survivor (again, a small number die of the acute process) will have "Chronic Hepatitis", with varying prognoses based on the class of chronic inflamation. The most serious group has a moderate-to-high risk of eventual cirrhosis and/or Hepatoma (liver cancer), both fatal. Of important note, people with the chronic disease states are often capable of transmitting the disease, if appropriate 'contact' is made (usually sexual or blood-product).Hepatitis 'C'--Probably more-or-less like 'B'.(Several Others)--Still being worked out. One final note: the term 'Hepatitis' can be used as a disease specifier,but also to describe a *FINDING* (ie-liver inflamation) seen in many, manydiseases. If your co-worker had the term used in it's latter sense, youhave to find out what disease he actually had, to determine the answer toyour question(s).
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