hepatic and biliary disorders
Hepatitis D
Diagnosis of Hepatitis D
Serologic testing In the Initial diagnosis of acute hepatitis , viral hepatitis should be differentiated from other disorders causing jaundice (see figure IgM antibody to hepatitis A virus (IgM anti-HAV) Hepatitis B surface antigen (HBsAg) IgM antibody to hepatitis B core (IgM anti-HBc) Antibody to hepatitis C virus (anti-HCV) and hepatitis C RNA (HCV RNA) polymerase chain reaction If Hepatitis B Serology* confirm infection and clinical manifestations are severe, antibody to HDV (anti-HDV) levels should be measured. Anti-HDV implies active infection. It may not be detectable until weeks after the acute illness. 