Acute hepatitis of unknown aetiology in children: a clinical update on the recent outbreak with mechanistic insights
- PMID: 36788593
- PMCID: PMC10081105
- DOI: 10.1093/cei/uxad023
Acute hepatitis of unknown aetiology in children: a clinical update on the recent outbreak with mechanistic insights
Abstract
Since April 2022, over 1000 children across 35 countries have developed episodes of acute hepatitis of unknown origin. At King's College Hospital, a total of 65 children were referred with acute hepatitis of unknown etiology, with 10 of these children presenting with acute liver dysfunction leading to acute liver failure. Multiple hypotheses have been proposed and continue to be investigated worldwide. In this review, we explore the current understanding of potential aetiologies for this outbreak. We further characterize the proposed immunological mechanisms of liver injury in these cases.
Keywords: acute hepatitis; acute liver failure; paediatric.
© The Author(s) 2023. Published by Oxford University Press on behalf of the British Society for Immunology.
Conflict of interest statement
The authors declare no conflict of interest.
References
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- WHO. Severe acute hepatitis of unknown aetiology in children - Multi-country. 2022. https://www.who.int/emergencies/disease-outbreak-news/item/2022. Accessed December 31, 2022.
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- UKHSA. Investigation into acute hepatitis of unknown aetiology in children in England - Technical briefing 4. 2022. https://assets.publishing.service.gov.uk/government/uploads/system/uploa.... Accessed December 31, 2022.
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- UKHSA. Investigation into acute hepatitis of unknown aetiology in children in England - Technical briefing 2. 2022. https://assets.publishing.service.gov.uk/government/uploads/system/uploa.... Accessed December 31, 2022.
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