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In the risk group included doctors and medical personnel in contact with blood or drugs, persons traveling to endemic for acute viral hepatitis-B areas, patients with reduced immune status, persons in close contact with carriers of viral infection with extensive tattooing the skin, treated with acupuncture at home, born to mothers-carriers of HBsAg and HBeAg; members of closed groups (orphanages, prisons, etc.), persons with low hygiene and leading promiscuous.
An objective study only symptom in patients with chronic viral hepatitis is often mild hepatomegaly: liver was enlarged on the right clavicular line by 2-5 cm, often sealed with a smooth surface, often moderately sensitive to palpation.
Thus, when the first call to the doctor in a patient with chronic viral hepatitis most often marked asthenic or dyspeptic complaints. In some patients, the liver is not increased, but it happens hyperbilirubinemia or only holetsistitopodobny pain syndrome in violation of the biochemical tests of liver function.