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Chronic viral hepatitis is discussed here in a multidisciplinary
approach. The editors' goal was to assemble contributions from
clinicians, laboratory physicians, epidemiologists, pathologists,
and molecular biologists to provide a synopsis of all the important
aspects of this disease. A key element in the chronic evolution of
viral hepatitis is the persistent coexistence of a cytotoxic immune
response and viral gene expression which is discussed in eleven
articles on immune pathogenesis. The oncogenicity of hepatitis B
virus at the molecular level and of hepatitis C virus at the
epidemiological level is discussed in two chapters. The application
of PCR for the detection of hepatitis viruses and their variants is
a major topic of both practical and theoretical interest. The
clinical significance of newly developed serological assays for
diagnosis and prevention is discussed in depth by specialists from
clinics, transfusion centers and virological laboratories. The
therapy of chronic viral hepatitis is still unsatisfactory, but
some slow progress is described in several articles. Furthermore,
the volume has a special chapter on the often neglected topic of
chronic hepatitis in childhood.
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