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Hepatitis B virus
Hepatitis B virus


Chronic persistent hepatitis is mild liver inflammation that may be caused by various viruses and conditions.

See also: Hepatitis

Alternative Names:

Persistent hepatitis; Hepatitis - persistent; Chronic lobular hepatitis; Mild chronic hepatitis

Causes, incidence, and risk factors:

Chronic persistent hepatitis can be caused by:

  • Autoimmune diseases such as lupus
  • Hepatitis B (HBV )
  • Hepatitis C (HCV )
  • Hepatitis D (HDV)
  • Various medications
  • Unknown (cryptogenic) causes

Symptoms: Note: There may be no symptoms.

Signs and tests:
  • Hepatitis B surface antigen (may be positive)
  • Hepatitis C antibody (may be positive)
  • Hepatitis D antibody (may be positive)
  • Tests for lupus or other autoimmune disease (may be positive)
  • Liver biopsy
  • Liver enzymes (slightly high and usually how this condition is detected)


Treatment is not always needed and depends on the underlying cause of the hepatitis. Each case should be reviewed to determine whether treatment would be helpful. New therapies for chronic viral infections are now able to stop or reverse some liver damage caused by certain viruses.

Support Groups:

Expectations (prognosis):

Most people recover from symptoms of chronic hepatitis. However, if the condition is caused by a virus such as HCV that can cause progressive liver damage, the hepatitis may worsen and cause severe liver scarring, liver failure, and potentially death.


Progression to liver failure is uncommon with many causes of chronic hepatitis. However, people with viral hepatitis or depressed immune systems, including those with HIV , are at higher risk.

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of hepatitis worsen or persist.


Persons in high-risk groups, such as health care workers, can receive a hepatitis B immunization . Practicing safe sex can reduce your risk of getting hepatitis through sexual contact.

Intravenous drug users should seek addiction treatment and avoid sharing needles and other injection-related materials. You may contract hepatitis by touching an infected person's IV drug supplies. Several forms of viral hepatitis spready much more easily through the blood than HIV, and the viruses can live for hours, even in dried blood.

Review Date: 9/24/2008
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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