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Confusing Lab Results
Aug 6, 2004

Four months ago, I got tested and got the following results: HBsAg Negative and HBcAb, IgM Positive.

My physician wanted a follow up on liver function and to repeat the tests. I just got my lab results and need help with the interpretation: HBeAg Negative, HBsAg Negative, HBcAb Positive, HBsAb Positive, HBeAb Positive

My Dr says that my body is not following the "norm" by having my HBeAb positive at this stage.

My liver function test results were normal: Albumin 4.5 g/dL, Alk Phos 89 IU/L, SGPT (ALT) 25 IU/L, SGOT (AST) 24 IU/L, Total Bili 0.6 mg/dL, Direct Bili, 0.02 mg/dL, Protein 7.7 g/dL

What does having the HBeAb positive means at this point?

Response from Dr. McGovern

You were diagnosed with acute hepatitis B 4 months ago when you had a hepatitis B core Ig M antibody test. At this point you are showing all the encouraging signs of clearance with conversion to surface antibody positivity. I suspect that your hepatitis B e antibody tests will be negative in about two months with ongoing positivity for surface antibody which suggests protection from hepatitis B.

I would get immunized from hepatitis A if you are not immune. I would also be certain to understand your risk factor for hepatitis B and be tested for hepatitis C and HIV if not already done to be absolutely sure that you are negative.

Dr. McGovern



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