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British Medical Bulletin 46:533-547 (1990)
© 1990 The British Council

research-article

Clinical presentation of acute viral hepatitis

N McIntyre

Academic Department of Medicine, Royal Free Hospital School of Medicine London, UK

Abstract

Acute viral hepatisits may be asymptomatic, symtomatic but anicteric, or a classical icteric hepatitis; rarely it is very severe and may be fatal. Different types of illness may be causes by the various hepatitis viruses. This does not help precise diagnosis, which is based on serological tests

This paper describes hepatitis seen with the A, B, C, D and E, viruses, and also smeof the unusual complications which have been recognized.

Serological tests allow precise diagnosis of acute hepatitis A and B and should be used more widely, because viral hepatitis is oftendiagnosed when jaundice is caused by other conditions. They also allow diagnosis when viral hepatitis has an atypical presentation, and is thus not considered as the cause of the liver disease. Negative tests suggest the need for further investigation.


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