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A retrospective study including patients with chronic viral hepatitis B who had undergone liver biopsy.Results: A total of 96 patients with chronic viral hepatitis B investigated by liver biopsy were included, ranging in age from 18 to 61 years, with a mean age of 32.7±10.7 years. Male predominance was noted, with a sex ratio of 1.46. The number of patients with histologically confirmed steatosis was 19, or 27.5% of the general population. BMI was significantly different between the two groups in our study (p=0.007); overweight patients were more likely to develop steatosis during chronic B infections. Hemoglobin levels were statistically significant between the two groups, with p<0.001. Multivariate analysis revealed an OR of 2.447 and IC95% [1.326-4.514] for hemoglobin, while HBeAg positivity differed significantly between the two groups, with an OR of 5.595 [1.186- 26.383]. The group of patients with hepatic steatosis was comparable to that of patients without steatosis.