Apr 1, 2006
Hi I was diagnosed to have HBV last year and here are the results of the blood test last August 9, 2006:
and in August 17, 2005 a follow-up test was conducted (heres the results)
HBc Ab IgG cut-off:1.063 patient value:1.330 >negative
HBc Ab IgM cut-off:0.070 patient value:0.001 > negative
HBe Ab: negative
Now yesterday March 15, 2006 after more than 6 months of being diagnosed positive, I got the following results:
HBsAg:non reactive Anti-HBs:non reactive HBeAg:non reactive Anti-HBe:non reactive Anti-HBc IgM:1.306 against cut-off:1.200 > non reactive Anti-HAV IgM:0.389 against cut-off:1.563 >non reactive
Im confused why my HBsAg became positive, Am I cleared, or theres something wrong with this recent test or those previous ones. Please answer me, thanks so much.
Response from Dr. McGovern
I am confused as well. Let's analyze the results:
In August of 2005, you had a positive HBV surface antigen. This prompted further testing which demonstrated that your hepatitis core tests suggest IgG was positive (patient cut-off of 1.33 was greater than the reference value). This would support a diagnosis of hepatitis B. However at this time point we cannot say whether it is chronic or recent until six months have passed. Your E antigen and normal liver function tests however are very reassuring.
In March 2006 you have evidence of clearance of hepatitis B surface antigen which would support clearance of viremia and resolution of infection. However, if this was the case, then your surface antibody should be reactive, and your anti-HBc IgG should also be positive. This first test is negative, which I don't understand, and the latter test was not performed.
Furthermore, your list your anti-HBc IgM as non-reactive, which I also don't understand since you IgM value is higher than cut-off. This would mean a POSITIVE result - not non-reactive.
I cannot say based on these tests, what your diagnosis is. You will need to review your serologies further with your physician. I am sorry I could not sort this out for you.
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.