Which Types of Hepatitis Generally Do Not Progress to Cirrhosis

Acute viral hepatitis caused by certain types of viruses typically does not lead to cirrhosis. In clinical practice, hepatitis caused by the hepatitis A virus (HAV) and hepatitis E virus (HEV) usually presents as an acute illness without progressing to chronic liver disease or cirrhosis. These infections are self-limiting, meaning they resolve on their own without long-term damage to the liver.

Adults infected with the hepatitis B virus (HBV) may develop acute hepatitis, but only a small percentage progress to chronic infection. Less than 10% of adults who contract HBV will develop chronic hepatitis B. The majority experience acute hepatitis B, which resolves without complications once the immune system clears the virus. Since this form does not become chronic, it does not typically result in cirrhosis.

When liver function recovers after an acute viral infection, the body naturally eliminates the virus. This means that there is no ongoing liver damage, reducing the risk of developing serious complications like cirrhosis. Acute viral hepatitis, such as those caused by HAV, HEV, or even acute HBV in most adult cases, generally carries a good prognosis with full recovery expected.