[Epicritical studies of results of blind punctures of the liver].
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Biomedical subjects
Publications and source records attributed to M Mörl.
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In geriatric medicine, hepatitis A is of minor interest only because protecting antibodies have been demonstrated in 92% of the elderly. Hepatitis B (which, prior to recognition of major routes of transmission, was predominantly transmitted percutaneously) has gained importance only by its chronic residuals in aged patients; acute infection in the elderly is rare. The recently detectable posttransfusional hepatitis C is the most important type of viral hepatitis in the elderly. In our region, hepatitis D is rare and hepatitis E has not yet been observed.
Although infectious hepatitis (IH) is, at the present time, predominantly a disease of adolescence and young adulthood, when it does occur in advanced age, it is associated with a higher level of mortality due to fulminant hepatitis, and with a more frequently chronic, subicteric and anicteric course. The reasons for this are to be found in a greater viral persistence, with concomitant lowering of the immune defences, secondary diseases, prior diseases of the liver, drug and alcohol abuse. A particularly unfavourable effect on the prognosis is ascribed to the use of corticosteroids in the acute phase of the disease.