Final answer:
The extra-hepatic complications of Chronic Hep C that match the student's options include joint pain, skin rashes, and cardiovascular disease. These are due to systemic effects of the virus and immune response.
Correct option is B
Step-by-step explanation:
Chronic Hepatitis C virus infection can lead to several extra-hepatic complications. These include symptoms and conditions outside the liver. The complications that match the student's options are:
These manifestations occur due to the systemic effects of the virus and the immune response. For example, joint pain, or arthralgia, is a common extra-hepatic manifestation and can be quite debilitating. Skin rashes, such as mixed cryoglobulinemia-associated vasculitis, can also occur in patients with chronic Hep C. In addition, patients may have an increased risk of cardiovascular disease due to chronic inflammation and other virus-related impacts on vascular health.
Other complications not listed in the options but associated with chronic Hep C include hepatorenal syndrome, where renal perfusion is compromised, and various metabolic disorders due to liver dysfunction. Kidney stones, however, are not typically associated with chronic Hep C.