Hepatitis D: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90).

  • Alpha-1 antitrypsin deficiency
  • Hemochromatosis (iron storage disease) – genetic disease with autosomal recessive inheritance with increased deposition of iron as a result of increased iron concentration in the blood with tissue damage.
  • Wilson’s disease (copper storage disease) – autosomal recessive inherited disease in which copper metabolism in the liver is disturbed by one or more gene mutations.

Infectious and parasitic diseases (A00-B99).

  • Other subgroups of viral hepatitis such as hepatitis A, B, C, or E.
  • Bacterial infections with the following pathogens:
    • Borrelia
    • Brucella
    • Chlamydia
    • Gonococcus
    • Leptospires
    • Mycobaterium tuberculosis
    • Rickettsiae (e.g., Coxiella burnetii)
    • Salmonella
    • Shigella
    • Treponema pallidum (lues)
  • Helminthoses with the following worm species:
    • Ascaris (roundworms)
    • Bilharzia (schistosomiasis)
    • Liver fluke
    • Trichinae
  • Protozoal disease with the following protozoa:
    • Amoebae
    • Leishmania (leishmaniasis)
    • Plasmodia (malaria)
    • Toxoplasmosis
  • Viral infections with the following pathogens:
    • Adenoviruses
    • Coxsackie viruses
    • Cytomegalovirus (CMV)
    • Epstein-Barr virus (EBV)
    • Yellow fever virus
    • Herpes simplex virus (HSV)
    • Mumps virus
    • Rubella virus
    • Varicella zoster virus (VZV)

Liver, gallbladder and bile ducts – Pancreas (pancreas) (K70-K77; K80-K87).

  • Autoimmune hepatitis (AIH; autoimmune hepatitis) – acute or chronic inflammatory autoimmune disease of the liver.
  • Fatty liver hepatitis

Medication

  • Z. E.g. paracetamol
  • S. below “Hepatotoxic drugs”

Environmental pollution – intoxications (poisonings).

  • Chlorinated hydrocarbons
  • Fungal poisoning

Further

  • Alcohol