the Connection Between Hepatitis B and Acne: Key Concerns

Hepatitis B and Acne Issues

Hello Doctor, about a month ago, I was in the acute phase of hepatitis B, with liver enzyme levels exceeding 2000 and bilirubin levels around 9.
The doctor said I am currently recovering well.
During my follow-up visit two weeks ago, my liver enzyme levels were in the 40s and 80s, and my bilirubin level was over 2.
Currently, I am only taking Betaloc and one Centrum tablet a day as recommended by my doctor.
My daily routine is normal.
Since my next follow-up appointment is still two to three weeks away, I often worry about whether my condition might change during this time.

1.
I had an ultrasound only once (before treatment, about a month ago), and since then, I have only had blood tests.
Should I have more frequent ultrasounds at my next visit?
2.
I usually do not have acne, and if I do, it goes away quickly.
However, since being diagnosed with hepatitis B and undergoing treatment, I have noticed an increase in facial acne, particularly on both sides of my cheeks, with noticeable large red pimples and clusters of small bumps.
Is this related to puberty? Is there a connection to my liver disease or the use of Betaloc? Should I be concerned?
3.
I have noticed that my urine often has bubbles, although sometimes it does not.
However, as long as I drink water (in normal amounts), my urine is clear or very light, close to transparent.
Is this normal? Should I be worried? Thank you for your assistance.

AA, 20~29 year old female. Ask Date: 2009/11/14

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
1.
Ultrasound can be used to check for any abnormalities in the liver and gallbladder, as well as the presence of ascites.
It is generally recommended to follow up every six months to a year for chronic hepatitis, and every three to six months for cirrhosis.
The frequency of monitoring should be based on clinical needs.
2.
For facial acne, it is advisable to seek medical consultation to determine if it is acne vulgaris or a drug rash.
During acute hepatitis, it is important to rest, avoid spicy foods, and maintain a balanced diet.
3.
If you are well-hydrated, your urine will be light in color; if you are dehydrated, it will be concentrated and darker.
This is normal, but if your urine frequently has bubbles, it is important to check for proteinuria.
Wishing you good health,
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health

Reply Date: 2009/11/14

More Info

Understanding the connection between Hepatitis B and acne can be complex, as there are multiple factors at play. Let's break down your concerns and address them one by one.

1. Monitoring Your Liver Health: Given your recent history of acute Hepatitis B, it is crucial to continue monitoring your liver function closely. The fact that your liver enzymes (GOT and GPT) have decreased significantly from over 2000 to the 40s and 80s is a positive sign, indicating recovery. However, the need for more frequent ultrasounds depends on your physician's assessment of your liver health and the severity of your initial condition. Generally, if there are no new symptoms or concerns, your doctor may not require more frequent ultrasounds beyond the initial one. However, if there are any signs of complications or if your liver function tests fluctuate, additional imaging may be warranted.

2. Acne and Hepatitis B Treatment: The increase in acne you are experiencing could be attributed to several factors. Stress and hormonal changes, which can accompany a significant health event like a Hepatitis B diagnosis, may exacerbate acne. Additionally, certain medications can have side effects that include skin changes. While "贝乐克" (likely referring to a medication such as propranolol) is primarily used for managing blood pressure and anxiety, it can sometimes lead to skin reactions in sensitive individuals. However, it is not commonly associated with acne. If you notice that your acne is persistent or worsening, it would be wise to consult a dermatologist who can provide targeted treatment options.
3. Foamy Urine: The presence of bubbles in your urine can be concerning, as it may indicate proteinuria (the presence of excess protein in the urine), which can be a sign of kidney issues. However, foamy urine can also occur due to rapid urination or dehydration. Since you mentioned that your urine appears clear when adequately hydrated, this could suggest that your hydration status plays a role. It is essential to monitor this symptom, especially given your recent liver issues. If you continue to notice foamy urine or if it becomes more pronounced, it would be advisable to discuss this with your healthcare provider, as they may want to conduct further tests to rule out any underlying kidney problems.

In summary, while your liver function appears to be improving, it is essential to maintain regular follow-ups with your healthcare provider to monitor your condition. The increase in acne may be related to stress or hormonal changes rather than a direct effect of Hepatitis B or your current medication. Lastly, keep an eye on your urine characteristics, and do not hesitate to reach out to your doctor if you have concerns about any symptoms you are experiencing. Your health and well-being are paramount, and proactive communication with your healthcare team is vital in managing your recovery from Hepatitis B.

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