Figure 126 Fig.126 - Positive Immunoperoxidase reaction for HBV surface antigen. Figure 127 Fig.127 - Positive immunoperoxidase reaction for HDV antigen. It is based on the use of a blocking RIA test for anti-HD antibody. Prevention and treatment All measures that prevent hepatitis B will prevent HDV, including HBV vaccine. Treatment will alpha -interferon is not successful.
Liver transplantation is to be considered in fulminant cases.
For the fact that HDV has a suppressive effect on HBV replication, the recurrence of accelerated disease after transplantation is less frequent than in hepatitis B alone.