“…Moreover, this infection may not be readily recognized at times, as it may masquerade as DILI, 50 AIH 51 or with myriad of extrahepatic manifestations, such as neurological symptoms, acute pancreatitis, chronic renal disease and cryoglobulinaemic disease. 11,13,[52][53][54] In highly endemic areas, a small proportion of patients with acute HEV may develop ALF (0.5%-4%). 1 In areas with lower endemicity, occurrence of ALF caused by genotype 3 and 4 has not been previously systematically evaluated, and there is a general belief that genotype 3 and 4 carry a benign course usually.…”