Which physical findings suggest acute hepatitis B (HBV) (Hep B)?

Updated: Jun 08, 2021
  • Author: Nikolaos T Pyrsopoulos, MD, PhD, MBA, FACP, AGAF; Chief Editor: BS Anand, MD  more...
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Patients with acute hepatitis usually do not have any clinical findings, but the physical examination can reveal the following:

  • Low-grade fever

  • Jaundice (10 days after appearance of constitutional symptomatology, lasting for 1-3 mo)

  • Hepatomegaly (mildly enlarged, soft liver)

  • Splenomegaly (5-15%)

  • Palmar erythema (rarely)

  • Spider nevi (rarely)

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