Hepatitis B is a double helix, DNA, with the tire. HBV infectionsinclude 25% of cases of viral arthritis.
The clinical picture includes:
migratory or additive, symmetric arthritis, the hand and knee jointsare most affected
is associated with significant morning stiffness and swelling
-arthritis and urticaria may precede jaundice by days, weeks andpersists cirteva few weeks after the jaundice resolved
poliartralgia-appellant or may occur in rheumatoid patients withchronic active hepatitis or chronic HBV viremia
-polyarteritis nodosum is associated with chronic HBV viremia
-patients may have arthritis-dermatitis syndrome
-nephropathy has been described
systemic necrotizing vasculitis, is described.
The route of transmission is parenteral or sexual.
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