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    Patients who develop chronic hepatitis B viremia get generic viagra prescription online may subsequently have recurrent arthralgias/arthritis. 6. Describe the clinical characteristics of the polyarthritis-dermatitis syndrome associated with hepatitis B infection. The etiology of this syndrome is due to deposition of circulating HBsAg-HBsAb immune complexes in the joints and skin. A classically urticarial rash frequently (20%) accompanies the arthritis. Both the arthritis and rash can precede the onset of jaundice and/or elevated liver-associated enzymes by several days.

    The arthritis improves with nonsteroidal anti-inflammatory drugs (NSAIDs) and usually subsides soon after the onset of jaundice. Only 7% of all essential mixed cryoglobulinemia is due to hepatitis B alone. In the preicteric prodromal period of acute hepatitis B infection, up to 26% of patients develop a polyarthritis that is acute, severe, and symmetric, involving both small and large joints.

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