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Most constant for all clinical variants of a biochemical syndrome of moderate inflammatory reaction (giperaminotransferazemiya and disglobulinemiya), reflecting the relatively not heavy defeat in the liver parenchyma during the current sluggish chronic hepatitis.
Therefore, the initial biochemical screening is mandatory for all patients with suspected chronic hepatitis of viral etiology. If there is a patient of a violation of bilirubin metabolism (clarification of feces, dark urine, itching of skin) to determine concentrations of total and direct (conjugated), blood bilirubin and alkaline phosphatase activity of blood.
The diagnosis of chronic hepatitis of any etiology based on clinical and biochemical data is always provisional, conjectural. Most patients with chronic viral hepatitis clinically flows gently, with mild biochemical changes. |
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