{"id":1379,"date":"2018-04-26T14:55:18","date_gmt":"2018-04-26T13:55:18","guid":{"rendered":"https:\/\/www.ddg-gastro.be\/?p=1379\/"},"modified":"2023-09-06T12:31:54","modified_gmt":"2023-09-06T11:31:54","slug":"hepatitis-disease","status":"publish","type":"post","link":"https:\/\/welliecare.com\/en\/hepatitis-disease\/","title":{"rendered":"Hepatitis, a common and potentially serious disease"},"content":{"rendered":"\n<p><strong>Hepatitis<\/strong> is an asymptomatic or so-called symptomless disease because it develops silently. This makes it a potentially serious condition because it is common and because it is silent, it is often diagnosed and treated too late.<\/p>\n\n\n\n<p>Hepatitis that has been going on for more than 6 months is called chronic. Otherwise, it is called acute. It is caused by an <strong>inflammation of the liver<\/strong>, most often due to an infection caused by a virus.<\/p>\n\n\n\n<p>Nevertheless, intoxication by a drug or chemical can also lead to inflammation of this organ, the liver. Alcoholism is also a <strong>cause of hepatitis<\/strong>. So let&#8217;s take a look at this common and potentially serious disease.<\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#What_are_the_different_forms_of_hepatitis\" >What are the different forms of hepatitis ?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#1_%E2%80%93_Viral_hepatitis\" >1 &#8211; Viral hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#2_%E2%80%93_Non-viral_hepatitis\" >2 &#8211; Non-viral hepatitis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#What_are_the_complications\" >What are the complications?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#1_%E2%80%93_Chronic_hepatitis\" >1 &#8211; Chronic hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#2_%E2%80%93_Cirrhosis_of_the_liver\" >2 &#8211; Cirrhosis of the liver<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#3_%E2%80%93_Liver_cancer\" >3 &#8211; Liver cancer<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#4_%E2%80%93_Fulminant_hepatitis\" >4 &#8211; Fulminant hepatitis<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#Some_numbers\" >Some numbers<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#What_are_the_symptoms\" >What are the symptoms<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#The_symptoms_of_acute_hepatitis\" >The symptoms of acute hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#The_symptoms_of_fulminant_hepatitis\" >The symptoms of fulminant hepatitis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#The_symptoms_of_cirrhosis_of_the_liver\" >The symptoms of cirrhosis of the liver<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#What_treatment_should_be_carried_out\" >What treatment should be carried out ?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/welliecare.com\/en\/hepatitis-disease\/#Recommandations\" >Recommandations<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_different_forms_of_hepatitis\"><\/span>What are the different forms of hepatitis ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Depending on the cause, hepatitis can take several forms. They can be divided into two main categories.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_%E2%80%93_Viral_hepatitis\"><\/span>1 &#8211; Viral hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Viral hepatitis consists of several infectious diseases that have in common, a virus-related inflammation of liver cells. They are caused by infection with a virus and are responsible for the majority of cases of <strong>acute hepatitis<\/strong>.<\/p>\n\n\n\n<p>Research in developed countries shows that<strong>hepatitis A, B, and C<\/strong> viruses account for almost 90% of acute hepatitis cases. There are also viruses responsible for hepatitis D, E and G.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%E2%80%93_Non-viral_hepatitis\"><\/span>2 &#8211; Non-viral hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><strong>Non-viral hepatitis<\/strong> is mainly caused by substances that are toxic to the liver. These include substances such as alcohol (alcoholic hepatopathy), toxic chemicals, etc.<\/p>\n\n\n\n<p>Diseases affecting the liver can also cause non-viral hepatitis. These are diseases such as <strong>hepatic steatosis<\/strong> also known as &#8220;fatty liver&#8221;, or autoimmune hepatitis, which is a <strong>chronic inflammatory hepatitis<\/strong>.<\/p>\n\n\n\n<p>The formal origin of the latter is not yet clear, but it is characterised by the production of antibodies that attack the affected person&#8217;s own cells. This is known as autoantibody disease. It is more common in women than in men.<\/p>\n\n\n\n<p>Some drugs can also cause chronic hepatitis. This is the case with isoniazid, methyl dopa and nitrofurantoin. These drugs taken over a long period of time are involved in the development of hepatitis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_complications\"><\/span>What are the complications?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"500\" src=\"https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-1024x500.jpg\" alt=\"Complications h\u00e9patite\" class=\"wp-image-2873\" srcset=\"https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-1024x500.jpg 1024w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-300x146.jpg 300w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-768x375.jpg 768w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-1536x749.jpg 1536w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-260x127.jpg 260w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-50x24.jpg 50w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite-150x73.jpg 150w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/complications-hepatite.jpg 1853w\" sizes=\"(max-width:767px) 480px, (max-width:1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Complications h\u00e9patite<\/figcaption><\/figure>\n\n\n\n<p>The majority of hepatitises disappear without any after-effects. But when the disease takes more than 6 months to heal, the liver takes a hit to the point where only a transplant of this organ is the solution.<\/p>\n\n\n\n<p>Being a slow-moving disease, hepatitis has often had time to develop complications with irreversible sequelae. As long as damage such as <strong>liver cirrhosis<\/strong> has not set in, it can be very difficult to suspect hepatitis. This leads to serious clinical situations.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"1_%E2%80%93_Chronic_hepatitis\"><\/span>1 &#8211; Chronic hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>This is the most common complication. In 75% of cases, it is caused by <strong>viral hepatitis B or C<\/strong>. With proper treatment, chronic hepatitis can take between one and three years to be cured.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"2_%E2%80%93_Cirrhosis_of_the_liver\"><\/span>2 &#8211; Cirrhosis of the liver<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It corresponds to an excessive formation of scar tissue (<strong>fibrosis<\/strong>) as a result of repeated attacks on the liver by toxins, viruses, etc. This disease can stabilise or evolve but in no case does it regress.<\/p>\n\n\n\n<p>The resulting fibrosis of the liver can impede blood flow to the organ and be life-threatening in the absence of a transplant. <strong>Cirrhosis of the liver<\/strong> occurs in 20 to 25% of cases of chronic hepatitis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"3_%E2%80%93_Liver_cancer\"><\/span>3 &#8211; Liver cancer<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>It is the ultimate complication of cirrhosis. It can also be caused by metastases originating in another organ. Alcoholic hepatopathy (alcohol poisoning of the liver) and viral hepatitis B and C are the hepatitises most likely to develop into <strong>liver cancer<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"4_%E2%80%93_Fulminant_hepatitis\"><\/span>4 &#8211; Fulminant hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Rather rare, fulminant hepatitis is characterised by major liver failure. The destruction of liver tissue is significant and requires an organ transplant.<\/p>\n\n\n\n<p><strong>Fulminant hepatitis<\/strong>, as the name suggests, is serious and fatal in 25% of cases. People with viral hepatitis type B or even toxic hepatitis are often the ones who develop this complication.<\/p>\n\n\n\n<p>If left untreated, the disease can progress either to spontaneous remission or to the complications seen above. Let us therefore look at the global impact of hepatitis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Some_numbers\"><\/span>Some numbers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A <strong><a href=\"https:\/\/www.who.int\/home\">WHO<\/a><\/strong> study has shown that 325 million people worldwide live with <strong>chronic infection with hepatitis B virus<\/strong> (HBV) or <strong>hepatitis C virus (HCV)<\/strong>.<\/p>\n\n\n\n<p>Viral hepatitis caused 1.34 million deaths in 2015, a figure comparable to deaths from TB and HIV. But while the mortality attributable to tuberculosis and HIV is declining, that due to hepatitis is increasing.<\/p>\n\n\n\n<p>There were approximately 1.75 million new cases of HCV infection in 2015, bringing the total number of people living with hepatitis C worldwide to 71 million.<\/p>\n\n\n\n<p>Although overall hepatitis mortality is on the rise, the number of new HBV infections is declining due to an increase in the coverage of HBV vaccination among children. Worldwide, 84% of children born in 2015 had the 3 recommended doses of hepatitis B vaccine.<\/p>\n\n\n\n<p>As the number of deaths caused by TB, HIV and Malaria decreases year by year, <strong>the number of deaths caused by hepatitis is constantly changing<\/strong> as you can note on the table below.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"564\" height=\"282\" src=\"https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403.jpg\" alt=\"hepatite\" class=\"wp-image-2009\" srcset=\"https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403.jpg 564w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403-300x150.jpg 300w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403-260x130.jpg 260w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403-50x25.jpg 50w, https:\/\/welliecare.com\/wp-content\/uploads\/2018\/01\/XVMea7cadda-2a7f-11e7-aee4-98c78486978d-805x403-150x75.jpg 150w\" sizes=\"(max-width:767px) 480px, 564px\" \/><figcaption class=\"wp-element-caption\">hepatite, tuberculos, malaria, hiv<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_symptoms\"><\/span>What are the symptoms<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Unfortunately, hepatitis is not easily detected until it has caused several serious damages. The following lists are therefore indicative and can also occur in many other diseases, hence the need for a <strong><a href=\"https:\/\/welliecare.com\/en\/consultations\/hepatology\/\">specialised hepatology consultation<\/a><\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_symptoms_of_acute_hepatitis\"><\/span>The symptoms of acute hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Jaundice of the skin and mucous membranes (rarely seen early);<\/li>\n\n\n\n<li>a feeling of abdominal discomfort, predominantly on the right side ;<\/li>\n\n\n\n<li>darker coloured urine than usual ;<\/li>\n\n\n\n<li>loss of appetite and weight loss ;<\/li>\n\n\n\n<li>fever and sweating, especially at the end of the day ;<\/li>\n\n\n\n<li>nausea.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_symptoms_of_fulminant_hepatitis\"><\/span>The symptoms of fulminant hepatitis<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In fulminant hepatitis, red spots appear on the skin, indicating bleeding. Nosebleeds also occur, as well as mental confusion that can lead to coma.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_symptoms_of_cirrhosis_of_the_liver\"><\/span>The symptoms of cirrhosis of the liver<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>water retention causing swelling in the stomach and lower limbs;<\/li>\n\n\n\n<li>Confusion due to brain damage;<\/li>\n\n\n\n<li>bleeding due to bleeding disorders;<\/li>\n\n\n\n<li>loss of muscle mass;<\/li>\n\n\n\n<li>the liver increases in size and is called splenomegaly;<\/li>\n\n\n\n<li>appearance of stellate angiomas: small blood vessels under the skin forming spider webs.<\/li>\n<\/ul>\n\n\n\n<p>Once hepatitis has been diagnosed, the final step is to provide effective treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_treatment_should_be_carried_out\"><\/span>What treatment should be carried out ?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>There are several treatment options depending on the type of hepatitis involved.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>abstention from treatment in the case of hepatitis A because the body can defend itself;<\/li>\n\n\n\n<li>rest and better nutrition for viral hepatitis A and B;<\/li>\n\n\n\n<li>interferon alpha and long-acting interferon for 4 months to fight the hepatitis B virus;<\/li>\n\n\n\n<li>antiretrovirals (telbivudine, entecavir, adefovir, lamivudine) in the fight against the hepatitis B virus;<\/li>\n\n\n\n<li>long-acting interferon plus ribavirin in hepatitis C ;<\/li>\n\n\n\n<li>stopping the drugs or toxic substances involved in toxic hepatitis;<\/li>\n\n\n\n<li>a liver transplant in case of irreversible complications such as cirrhosis, cancer and fulminant hepatitis.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Recommandations\"><\/span>Recommandations<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>In order to enjoy a good recovery, it is strongly recommended to follow hygienic and dietary measures such as :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>avoid smoking;<\/li>\n\n\n\n<li>avoid heavy meals;<\/li>\n\n\n\n<li>avoid exposure to toxic products;<\/li>\n\n\n\n<li>avoid alcohol ;<\/li>\n\n\n\n<li>take a rest ;<\/li>\n\n\n\n<li>consult your doctor before taking any medication;<\/li>\n\n\n\n<li>get psychological support.<\/li>\n<\/ul>\n\n\n<div class=\"kk-star-ratings kksr-auto kksr-align-left kksr-valign-bottom\"\n    data-payload='{&quot;align&quot;:&quot;left&quot;,&quot;id&quot;:&quot;1379&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;bottom&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;0&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;0&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;4&quot;,&quot;greet&quot;:&quot;Rate this post&quot;,&quot;legend&quot;:&quot;0\\\/5 - (0 votes)&quot;,&quot;size&quot;:&quot;24&quot;,&quot;title&quot;:&quot;Hepatitis, a common and potentially serious disease&quot;,&quot;width&quot;:&quot;0&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 0px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 4px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 19.2px;\">\n            <span class=\"kksr-muted\">Rate this post<\/span>\n    <\/div>\n    <\/div>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;H\u00e9patite \u00e9tant silencieuse (d\u00e9nu\u00e9e de sympt\u00f4me) est une maladie fr\u00e9quente et potentiellement grave, souvent diagnostiqu\u00e9e et trait\u00e9e trop tardivement.<\/p>\n","protected":false},"author":1,"featured_media":1232,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"image","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-1379","post","type-post","status-publish","format-image","has-post-thumbnail","hentry","category-gastroenterology","post_format-post-format-image"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hepatitis: A Silent and Potentially Severe Threat<\/title>\n<meta name=\"description\" content=\"Hepatitis is silent (devoid of symptoms) and is a common and potentially serious disease, often diagnosed and treated too late. 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