
Hepatitis E
Hepatitis E (HEV) is an epidemic non-A, non-B hepatitis virus. The disease is believed to be caused by more than one virus. Currently, there is not a blood test available to detect the HEV viruses. It occurs primarily after natural disasters and is spread through fecal-contaminated food and water. Most people do not develop any symptoms. Those who do complain of fatigue, lack of appetite, jaundice, and in some cases nausea and vomiting. There is no cure for hepatitis D. The patient should get plenty of bed rest, drink plenty of fluids, and avoid alcoholic beverages because they place too great a demand on the already damaged liver. If not treated, hepatitis E could lead to chronic hepatitis. About 10% of the people who contract HEV will go on to acquire chronic hepatitis. Chronic hepatitis is an intense and progressive inflammation and destruction of the liver cells. Cirrhosis often develops. When cirrhosis of the liver develops, internal scaring (fibrosis) breaks up the normal structure of the liver. The undamaged cells multiply to form regeneration nodules. These nodules are inadequately supplied with blood, and as a result, over time, liver function is gradually impaired. In the United States about 30,000 deaths occur annually due to cirrhosis.