{"id":28206,"date":"2026-01-30T18:00:00","date_gmt":"2026-01-30T21:00:00","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=28206"},"modified":"2026-01-28T11:25:10","modified_gmt":"2026-01-28T14:25:10","slug":"hepatites-virais","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/","title":{"rendered":"Hepatites virais: tipos, semelhan\u00e7as e diferen\u00e7as"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#O_quadro_agudo_e_o_diagnostico_diferencial\" >O quadro agudo e o diagn\u00f3stico diferencial<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Laboratorial\" >Laboratorial<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Hepatite_A\" >Hepatite A<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Hepatite_B\" >Hepatite B<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Sorologia\" >Sorologia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Resumo_Pratico\" >Resumo Pr\u00e1tico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Formas_Mutantes\" >Formas Mutantes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Tratamento_da_Cronica\" >Tratamento da Cr\u00f4nica<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Hepatite_C\" >Hepatite C<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Hepatite_D\" >Hepatite D<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/hepatites-virais\/#Conquiste_a_aprovacao_e_acompanhe_mais_noticias\" >Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-1024x576.png\" alt=\"\" class=\"wp-image-28218\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-2048x1152.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-747x420.png 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-150x84.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-696x392.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-1068x601.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/Blog-MedCof-71-1920x1080.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>As <strong>hepatites virais<\/strong> s\u00e3o infec\u00e7\u00f5es sist\u00eamicas com tropismo hep\u00e1tico. Para a pr\u00e1tica m\u00e9dica e provas de resid\u00eancia, o foco principal recai sobre as hepatites <strong>A, B e C<\/strong>. Vamos diferenciar o quadro agudo geral antes de entrar nas especificidades.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-quadro-agudo-e-o-diagnostico-diferencial\"><span class=\"ez-toc-section\" id=\"O_quadro_agudo_e_o_diagnostico_diferencial\"><\/span><strong>O quadro agudo e o diagn\u00f3stico diferencial<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Antes de pedir sorologias, precisamos suspeitar clinicamente. Diferente das arboviroses (Dengue, Zika), a hepatite viral aguda <strong>raramente cursa com febre alta<\/strong>. Se houver febre, geralmente \u00e9 baixa (37,5\u00b0 &#8211; 37,9\u00b0).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-laboratorial\"><span class=\"ez-toc-section\" id=\"Laboratorial\"><\/span><strong>Laboratorial<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hepatites Virais (e Febre Amarela):<\/strong> Transaminases &#8220;estouradas&#8221;, geralmente $> 1.000$ UI\/ml.<\/li>\n\n\n\n<li><strong>Dengue\/Leptospirose:<\/strong> Transaminases elevadas, mas mais brandas (faixa de 200-300 UI\/ml).<\/li>\n<\/ul>\n\n\n\n<p>A fase ict\u00e9rica traz a s\u00edndrome colest\u00e1tica (col\u00faria, acolia fecal) e, no hemograma, observamos leucopenia com <strong>linfocitose<\/strong> (&gt;35\u00b0), diferindo das infec\u00e7\u00f5es bacterianas que desviam \u00e0 esquerda.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hepatite-a\"><span class=\"ez-toc-section\" id=\"Hepatite_A\"><\/span><strong>Hepatite A<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A Hepatite A \u00e9 causada por um picornav\u00edrus (RNA) de transmiss\u00e3o <strong>fecal-oral<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Evolu\u00e7\u00e3o:<\/strong> <strong>Nunca cronifica<\/strong>. A cura \u00e9 espont\u00e2nea.<\/li>\n\n\n\n<li><strong>Cl\u00ednica:<\/strong> Em crian\u00e7as, muitas vezes \u00e9 assintom\u00e1tica\/anict\u00e9rica. Em adultos, 80% evoluem para a forma ict\u00e9rica e sintom\u00e1tica.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"952\" height=\"523\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7.png\" alt=\"\" class=\"wp-image-41088\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7.png 952w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7-300x165.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7-768x422.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7-765x420.png 765w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7-150x82.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-7-696x382.png 696w\" sizes=\"auto, (max-width: 952px) 100vw, 952px\" \/><figcaption class=\"wp-element-caption\">Evolu\u00e7\u00e3o sorol\u00f3gica da Hepatite A. Fonte: Acervo de aulas do Grupo MedCof.\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Diagn\u00f3stico:<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>IgM:<\/strong> Infec\u00e7\u00e3o aguda (doen\u00e7a ativa).<\/li>\n\n\n\n<li><strong>IgG:<\/strong> Cicatriz imunol\u00f3gica (contato pr\u00e9vio ou vacina).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Tratamento:<\/strong> Apenas suporte sintom\u00e1tico.<\/li>\n\n\n\n<li><strong>Preven\u00e7\u00e3o:<\/strong> Vacina (v\u00edrus inativado). No PNI, rotina para crian\u00e7as. Para adultos, indicada em situa\u00e7\u00f5es especiais (HSH, hepatopatas, HIV+).<\/li>\n<\/ul>\n\n\n\n<p>O per\u00edodo de elimina\u00e7\u00e3o viral nas fezes cessa quando os sintomas aparecem. Portanto, n\u00e3o faz sentido isolamento de contato estrito para um paciente que j\u00e1 est\u00e1 ict\u00e9rico!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hepatite-b\"><span class=\"ez-toc-section\" id=\"Hepatite_B\"><\/span><strong>Hepatite B<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Aqui mora a complexidade. O v\u00edrus B (HBV) \u00e9 um v\u00edrus de <strong>DNA<\/strong> que se integra ao genoma do hospedeiro, tendo potencial oncog\u00eanico (CHC) mesmo sem cirrose pr\u00e9via.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sorologia\"><span class=\"ez-toc-section\" id=\"Sorologia\"><\/span><strong>Sorologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Para interpretar o painel, pense na estrutura do v\u00edrus:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>HBsAg (Superf\u00edcie):<\/strong> Indica a <strong>presen\u00e7a do v\u00edrus<\/strong>. Se positivo, h\u00e1 infec\u00e7\u00e3o (aguda ou cr\u00f4nica).<\/li>\n\n\n\n<li><strong>Anti-HBs:<\/strong> Anticorpo contra a superf\u00edcie. Indica <strong>cura ou vacina\u00e7\u00e3o<\/strong>.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"469\" height=\"344\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-8.png\" alt=\"\" class=\"wp-image-41089\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-8.png 469w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-8-300x220.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-8-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-8-150x110.png 150w\" sizes=\"auto, (max-width: 469px) 100vw, 469px\" \/><figcaption class=\"wp-element-caption\">Estrutura viral da hepatite B. Fonte: Acervo de ilustra\u00e7\u00f5es do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>Anti-HBc (Core\/Centro):<\/strong> Anticorpo contra o n\u00facleo. Indica que <strong>houve contato<\/strong> com o v\u00edrus real. A vacina <em>n\u00e3o<\/em> gera Anti-HBc positivo (pois a vacina s\u00f3 tem a superf\u00edcie).\n<ul class=\"wp-block-list\">\n<li><strong>IgM Anti-HBc:<\/strong> Infec\u00e7\u00e3o aguda recente.<\/li>\n\n\n\n<li><strong>IgG Anti-HBc:<\/strong> Contato antigo (cr\u00f4nico ou curado).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>HBeAg (E = envelope\/replica\u00e7\u00e3o):<\/strong> Indica <strong>alta replica\u00e7\u00e3o<\/strong> viral.<\/li>\n\n\n\n<li><strong>Anti-HBe:<\/strong> Indica que a replica\u00e7\u00e3o cessou (fase de controle).<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-resumo-pratico\"><span class=\"ez-toc-section\" id=\"Resumo_Pratico\"><\/span><strong>Resumo Pr\u00e1tico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>HBsAg (+) e IgM Anti-HBc (+):<\/strong> Hepatite B Aguda.<\/li>\n\n\n\n<li><strong>HBsAg (+) e IgG Anti-HBc (+) por > 6 meses:<\/strong> Hepatite B Cr\u00f4nica.<\/li>\n\n\n\n<li><strong>HBsAg (-), Anti-HBc (+) e Anti-HBs (+):<\/strong> Cura (imunidade natural).<\/li>\n\n\n\n<li><strong>HBsAg (-), Anti-HBc (-) e Anti-HBs (+):<\/strong> Vacinado.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"851\" height=\"529\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9.png\" alt=\"\" class=\"wp-image-41090\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9.png 851w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9-300x186.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9-768x477.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9-676x420.png 676w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9-150x93.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-9-696x433.png 696w\" sizes=\"auto, (max-width: 851px) 100vw, 851px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de ilustra\u00e7\u00f5es do Grupo MedCof.\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-formas-mutantes\"><span class=\"ez-toc-section\" id=\"Formas_Mutantes\"><\/span><strong>Formas Mutantes<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Aten\u00e7\u00e3o redobrada aqui, pois isso diferencia o aluno mediano do excelente:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mutante Pr\u00e9-Core:<\/strong> O paciente tem HBeAg <strong>negativo<\/strong> e Anti-HBe <strong>positivo<\/strong> (parece bom), mas tem transaminases altas e <strong>PCR-HBV elevado<\/strong>. O v\u00edrus sofreu muta\u00e7\u00e3o e replica mesmo sem expressar o ant\u00edgeno E.<\/li>\n\n\n\n<li><strong>Hepatite Oculta:<\/strong> HBsAg negativo, mas PCR detect\u00e1vel. Ocorre por falha na produ\u00e7\u00e3o do ant\u00edgeno de superf\u00edcie ou imunossupress\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tratamento-da-cronica\"><span class=\"ez-toc-section\" id=\"Tratamento_da_Cronica\"><\/span><strong>Tratamento da Cr\u00f4nica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>N\u00e3o tratamos todos. O objetivo \u00e9 <strong>evitar cirrose e CHC. <\/strong>Tratamos se houver evid\u00eancia de <strong>dano hep\u00e1tico sustentado<\/strong> e replica\u00e7\u00e3o.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"407\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-10.png\" alt=\"\" class=\"wp-image-41092\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-10.png 610w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-10-300x200.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-10-150x100.png 150w\" sizes=\"auto, (max-width: 610px) 100vw, 610px\" \/><figcaption class=\"wp-element-caption\">Marcadores sorol\u00f3gicos at\u00e9 a cronifica\u00e7\u00e3o. Nunca faz o antiHBS.\u00a0Cr\u00f4nica = AgHBS por > 6 meses.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-criterios-principais-para-tratar\"><strong>Crit\u00e9rios principais para tratar<\/strong><\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Carga Viral:<\/strong> HBV-DNA > 2.000 UI\/mL.<\/li>\n\n\n\n<li><strong>Transaminases (ALT\/TGP):<\/strong> Elevadas (\u2265 52 homens \/ \u2265 37 mulheres) em duas medidas.<\/li>\n\n\n\n<li><strong>Gravidade:<\/strong> Presen\u00e7a de cirrose ou fibrose avan\u00e7ada (F2\/F3 na bi\u00f3psia ou elastografia).<\/li>\n\n\n\n<li><strong>Risco:<\/strong> Coinfec\u00e7\u00e3o HIV\/HCV, hist\u00f3ria familiar de CHC ou imunossupress\u00e3o.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-drogas-de-escolha-analogos-de-nucleosideos\"><strong>Drogas de Escolha (An\u00e1logos de Nucleos\u00eddeos)<\/strong><\/h4>\n\n\n\n<p>O tratamento \u00e9 por tempo indeterminado (exceto se houver soroconvers\u00e3o HBsAg $\\to$ Anti-HBs, o que \u00e9 raro).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tenofovir (TDF):<\/strong> Primeira linha. Seguro na gesta\u00e7\u00e3o. <em>Cuidado:<\/em> toxicidade renal e \u00f3ssea (monitorar densitometria ap\u00f3s 5 anos).<\/li>\n\n\n\n<li><strong>Entecavir:<\/strong> Op\u00e7\u00e3o para renais cr\u00f4nicos ou idosos, mas contraindicado na gesta\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hepatite-c\"><span class=\"ez-toc-section\" id=\"Hepatite_C\"><\/span><strong>Hepatite C<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Causada por um v\u00edrus RNA (HCV), sua transmiss\u00e3o \u00e9 predominantemente <strong>parenteral<\/strong> (sangue). A transmiss\u00e3o sexual \u00e9 <strong>rara.<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hist\u00f3ria Natural:<\/strong> O grande perigo \u00e9 a cronifica\u00e7\u00e3o. Cerca de <strong>80%<\/strong> dos casos agudos tornam-se cr\u00f4nicos. Desses, 20% evoluem para cirrose em 20-30 anos.<\/li>\n\n\n\n<li><strong>Diagn\u00f3stico:<\/strong> Anti-HCV (triagem) + <strong>PCR-HCV<\/strong> (confirmat\u00f3rio). Se PCR positivo por $> 6$ meses = Infec\u00e7\u00e3o Cr\u00f4nica.<\/li>\n\n\n\n<li><strong>Tratamento:<\/strong> Hoje vivemos a era da cura da Hepatite C! Usamos esquemas <strong>pan-genot\u00edpicos<\/strong> (cobrem todos os tipos virais).\n<ul class=\"wp-block-list\">\n<li><strong>Esquema:<\/strong> Sofosbuvir + Daclatasvir (ou Velpatasvir).<\/li>\n\n\n\n<li><strong>Meta:<\/strong> Resposta Virol\u00f3gica Sustentada (RVS) = PCR negativo 12 semanas ap\u00f3s fim do tratamento.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"390\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-1024x390.png\" alt=\"\" class=\"wp-image-41094\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-1024x390.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-300x114.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-768x293.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-1101x420.png 1101w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-150x57.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-696x265.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11-1068x407.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/07\/image-11.png 1167w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fluxograma da evolu\u00e7\u00e3o da Hepatite C. Fonte: Acervo de Aulas do Grupo MedCof<\/figcaption><\/figure>\n\n\n\n<p>Se o paciente j\u00e1 tem cirrose ou fibrose avan\u00e7ada (F3\/F4), mesmo curando o v\u00edrus (RVS), ele deve manter seguimento semestral com USG para rastreio de hepatocarcinoma pelo resto da vida.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-hepatite-d\"><span class=\"ez-toc-section\" id=\"Hepatite_D\"><\/span><strong>Hepatite D<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Lembre-se: O v\u00edrus D \u00e9 &#8220;defectivo&#8221;. Ele precisa do <strong>HBsAg<\/strong> do v\u00edrus B para encapsul\u00e1-lo.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Superinfec\u00e7\u00e3o:<\/strong> Paciente j\u00e1 tem B cr\u00f4nica e pega o D. Pior progn\u00f3stico, acelera cirrose.:<\/li>\n\n\n\n<li><strong>Coinfec\u00e7\u00e3o:<\/strong> Pega B e D ao mesmo tempo.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/?clientId=&amp;utm_campaign=newsletter&amp;utm_medium=banner&amp;utm_source=blog&amp;utm_content=inscricao#https:\/\/www.grupomedcof.com.br\/blog\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png\" alt=\"\" class=\"wp-image-39227\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1.png 1343w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conquiste-a-aprovacao-e-acompanhe-mais-noticias\"><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao_e_acompanhe_mais_noticias\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gostou do conte\u00fado? Continue acompanhando nosso blog para ficar por dentro das principais&nbsp;<strong>not\u00edcias sobre&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">resid\u00eancia m\u00e9dica,<\/a>&nbsp;editais e&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">oportunidades que podem transformar sua carreira!<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"3RlSQJNPxxo\"><iframe loading=\"lazy\" title=\"Atualiza\u00e7\u00f5es no PDCT de Hepatite B - Com a Dra. Isabela Cruz - Resum\u00e3o MedCof EP. 07\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/3RlSQJNPxxo?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>As hepatites virais s\u00e3o infec\u00e7\u00f5es sist\u00eamicas com tropismo hep\u00e1tico. Entenda mais sobre cada uma delas em nosso blog!<\/p>\n","protected":false},"author":21,"featured_media":28218,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[240],"tags":[1692,1564,1695,1691,1696,235,68],"ppma_author":[3617],"class_list":{"0":"post-28206","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-noticias","8":"tag-hepatite-a","9":"tag-hepatite-b","10":"tag-hepatite-e","11":"tag-hepatites","12":"tag-hepatites-virais","13":"tag-ministerio-da-saude","14":"tag-residencia-medica"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hepatites virais: tipos, semelhan\u00e7as e diferen\u00e7as - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"As hepatites virais s\u00e3o infec\u00e7\u00f5es sist\u00eamicas com tropismo hep\u00e1tico. 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