LiverLearning®: Hepatitis B SIG: HBV Flares: Distinguishing the Good from the Bad
Chronic HBV (CHB) infection follows a dynamic course with multiple phases of disease with various durations. ALT flares during CHB can be challenging for clinicians to manage. In some settings ALT flares herald a transition from active to inactive disease and thus are considered to be beneficial. In other scenarios, they may indicate aggressive inflammatory liver disease than can lead to progressive liver injury or even fulminant hepatic failure.