Hepatitis D
The hepatitis D virus is defective, as it lacks certain parts to function. Because of this, it can only cause infection when hepatitis B is also present, as the hepatitis D virus requires the hepatitis B surface antigen (HBsAg) for it to function.
Like hepatitis B and C, transmission is parenteral, sexual, or perinatal.
Clinical features
Coinfection with HBV causes more severe acute hepatitis or fulminant hepatitis, but no increased risk of chronic hepatitis.
Superinfection of a person with chronic HBV increases risk of cirrhosis and accelerates disease progression.
Diagnosis and evaluation
Diagnosis is based on serology. IgM anti-HDV indicates acute infection, while IgG anti-HDV indicates chronic infection.