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Abstract Viral hepatitis is a multisyscem disease involving many orgar. predominantly the liver . . acut:e or chronic hepatic injury and extrahepatic manifestatior.s or cor.1plications may be due to systemic infection (Marce1lin et al., 1993). HCV may be presented oy extrahepatic features such as itchhng ,liche planus, pure red cell aplasia, porphyria,immune chyroiditis, vaso occlusive disease GlcT.erulonephritis polyarteritis myocarditis•, occula ulcer, asymmetrical arthritis” sjogren’s syndrome, retroperitoneal ::.ymphadenopathy and essential mixed cryoglobulinemia (EMC) {Pawlotsky et al., 1994). |