What are the long-term effects of hbv infection?

Heals up, or chronic: Most cases of adult onset hep b are acute, and don't lead to chronic liver disease. Most cases of transmission at birth lead to chronic disease: chronic carriage of virus, infectivity, chronic inflammation/scarring, risk for liver cancer and cirrhosis (scarring), risks: IV drug use, transfused a bad batch of blood, less risk with sex, needle stick. Far east, africa, middle east endemic at birth.

Cirrhosis & liver Ca: Cirthosis of the liver resulting in portal HTN (esophageal varices, ascites, encephalopathy) and liver cancer are the most feared complications of chronic hep b infection.