Doctor insights on:
Chronic Inactive Hepatitis B
Yes.: It is possible. The rate of clearance is low - maybe 1% per year or so. The diagnosis of the inactive carrier state and clearance can both be tricky so be sure you are speaking with someone knowledgeable about Chronic Hep B. ...Read more
Failure?: There are some individuals who apparently do not have the capacity to produce antibodies to hepatitis b surface antigen. These are the people who develop chronic hepatitis following acute infection. If you are in this category you may be at risk. On the other hand, if you have received the vaccine and not turned hep b antibody positive you might want to try once more. ...Read more
Yes: Most acute HBV infections clear spontaneously. Chronic HBV has a certain clearance rate per year but also can be treated. ...Read more
Interpret hepatitis B panel results:
Hep B surface antigen (HBsAg) - Non-reactive, Hep B core Total antibody Anti-HBc Reactive, NAT Non-reactive?
HBV test results: Hepatitis B Surface Antigen: Nonreactive; Hepatitis B Core Antibodies: Reactive; HBV PCR: Negative. Need any medication or vaccine?
Excellent question: and your story stumps many a doctor, often! :) a lot of the recommendations depend on - are you someone with risk factors for HBV? is this the first time that it has been checked? are your liver enzymes normal? are you about to undergo any procedures/ treatments that could put you at risk for HBV? If you have no sig risk factors, yes, I'd vaccinate you if there's potential for exposure. ...Read more
Hep B: Hep B core IgM antibody is only present in acute infection. The IgM will then be lost, and you develop Heb B core antibody total (IgG) that persists for life. After acute infection, one hopefully loses the surface antigen and develops surface antibody, which indicates lifelong immunity. The surface antibody also persists for life. If persisting surface antigen, this indicates chronic infection. ...Read more
Hbv DNA is 13160iu/ml. Hepatitis b surface antigen negative. Chronic hepatitis b take tenofo b for 3 month? Sir tell my stage and condition?
Liver doctor: Your liver doctor would be the one answering this question the best. ...Read more
Hbv DNA is 13160iu/ml. Hepatitis b surface antigen negative. Chronic hepatitis b take tenofo b for 3 month? hepatologist answer me. tell my condition?
Your condition: Needs more information and test to determine the stage of your chronic active hepatitus B. Viral load do not correlate with the stage of liver damage or fibrosis ...Read more
What does this mean: Hep B Surface Antibody Borderline, Hep B Surface Antigen non-reactive, Hep B Core AB non-reactive? All other labs normal.
No active infection: When people have reactive hepatitis b surface antigen, they have proteins from hepatitis b in their blood. These people have active infection and may need treatment. If there is no reactive hbsag, then most likely there is no active infection. Rarely, people who have hepatitis b core antibody detected, but no hepatitis b surface antibody, can have chronic active infection. ...Read more
IMy HBV test results (red cross): Hepatitis B Surface Antigen: Nonreactive; Hepatitis B Core Antibodies: Reactive; HBV PCR: Negative. Do I have HBV?
Cured, but...: If a person's Hep B surface antigen is nonreactive, that means the lab does not find pieces of the surface of the virus. If her Hep B virus PCR is negative, that means the lab does not find the virus's DNA (genes). If the core antibody is reactive that means her immune system REMEMBERS being infected with Hep B. She is cured, but some viral DNA might be attached to her own human DNA in her liver. ...Read more
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