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I'm pretty sure pdf2html does keep italics, etc. Also worth looking at (if you're using a PC or running wine on Linux) is the processtext.com PDF converter, which is cheap, easy to use, and does a good job on nearly every file I've thrown at it (the exception being one that had very weird custom encoding). It also has a "complex" mode, similar to pdf2html, that helps greatly in eliminating those annoying fixed line lengths.
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