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[Clinical Picture] Liver sequestration in sickle-cell disease and hepatitis

A 19-year-old man presented to our emergency department with abdominal pain and jaundice. He had emigrated from Senegal during infancy. He was found to be a carrier of hepatitis B virus, with a hepatitis B surface antigen serum DNA concentration persistently below 2000 IU/mL. He was negative for hepatitis B e antigen and positive for anti-hepatitis B e antibodies.