Acute viral hepatitis (AVH) in children <5 years of age, is mostly (90%) anicteric hepatitis (no jaundice) whereas in older children it manifests as icteric hepatitis (70%). AVH is usually manifested as typical prodrome in the form of fever, anorexia, pain abdomen followed by jaundice.
Usually recovery is complete with improvement of jaundice and normalization of liver function tests and liver size over 3 to 6 months. If hepatomegaly and abnormal liver function tests persist for more than 6 months, then underlying chronic liver disease should be considered and evaluated for the same.
Atypical manifestation of AVH-
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