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Infants and young children are mostly asymptomatic when newly infected with HBV, while 3050% of older children or adults with acute hepatitis B may develop symptoms that are undistinguishable from hepatitis of other causes, such as fever, fatigue, loss of appetite, nausea, vomiting, upper abdominal discomfort, tea-coloured urine and jaundice (yellowing of the skin and the whites of eyes)
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