The hepatitis B virus (HBV) polymerase has no editing function and thu
s frequently transcribes its template incorrectly to result in viral v
ariants that go under the name of ''mutants.'' These mutants may be vi
ewed as part of a continuing Darwinian evolution of HBV with some surv
ival benefit. They also result in unusual extrahepatic manifestations
of HBV infection, which will doubtless continue to divert the hepatolo
gist.