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Abstract Neopterin is a compound act as a mediator in the biosynthesis of tetrahydrobiopterin which represent an essential cofactor of the mono-oxygenases involved in the neurotransmitter synthesis. Neopterin is produced by human monocytes and macrophages following induction by supernatant from activated T-lymphocytes or by other lymphokines and activated agents. This study was carried out on 56 children. They were classified as follows: Group/a: Comprised of 10 cases with acute viral hepatitis post virus (A). Grouplh: Consisted of 10 cases with acute viral hepatitis post virus (A) after treatment (The same cases of group Ia). Group//: Consisted of 16 cases of chronic active hepatitis post virus (B). Group///: Consisted of 10 cases of simple bilharzia!cases. Group IV: Consisted of 10 cases of complicated bilharzia! cases. Group V: Consisted of 10 cases ofthal ssaemia major. Group VI: Consisted of 10 healthy children as a control group. All cases in this study were subjected to the following: -Urine and stool analysis. -Complete blood picture. -Full clinical examination. -Liver function tests. -Serum neopterin level. -Haemoglobin electrephoresis for cases of group V. -Liver biopsies in some cases of group II. The results of the present study denoted that haematological change; liver function and serum levels of neopterin were present in most of all cases and partial improvement in cases of group lb. |