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It must be emphasized that none of these symptoms is not required for chronic viral hepatitis. So often encountered patients in whom the only manifestation of hepatitis B is an expression of fatigue or pain in the right upper quadrant or persistent nausea or arthralgia. Often observed asthenovegetative syndrome: a pain in the heart, not associated with physical activity, headache, sweating and dizziness. In 20% of subjective complaints does not happen even at the stage viral cirrhosis of the liver, and hepatomegaly detected by physical examination at the other disease (eg peptic ulcer or hypertension).
Undoubted diagnostic value can be carefully collected epidemiological history, which, besides the information of past acute viral hepatitis, or contact with patients with acute viral hepatitis and includes data on risk factors.
These include guidelines on blood transfusion, its components and the drugs, immunosuppressive therapy for systemic diseases, chemotherapy or radiation therapy for malignant tumors, extensive surgery or organ transplantation, injection therapy, for example, about diabetes, tuberculosis or sexually transmitted diseases . |
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