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HEP B FULL PANEL EXAM
Mar 7, 2008

Ever since we had a company medical exam I had no problem with the result. Just recently, HEPA screening test for our medical exam reveals REACTIVE. I was alarmed of the result and I decided to have a full panel HEPA B examination. The results are as follows:

IMMUNOLOGY

Hepatitis B Full Panel

HBsAg w/Titer (ECLIA), 0.548, C.O.V. 1.000 NON-REACTIVE

Anti HBs (ECLIA), 2.000, C.O.V. 10.000 NON-REACTIVE

HBeAg (ECLIA), 0.109, C.O.V. 1.000 NON-REACTIVE

Anti HBe (ECLIA), 0.885, C.O.V. 1.000 REACTIVE

Anti HBc IgM (ECLIA), 0.043, C.O.V. 1.000 NON-REACTIVE

Anti HBc IgG (ECLIA), 0.013, C.O.V. 1.000 REACTIVE

NOTE: IMMUNOLOGY - Specimen rechecked. Result/s Verified.

AHBe & AHBc IgG count below the cut-off value is considered REACTIVE

The results bothers me esp. with some items with REACTIVE comments. Can you please help me figure this out. Do I need medication for the above to make it non reactive.

Thanks a lot.

Robert of Philippines

Response from Dr. McGovern

Your hepatitis B antibody tests do not fit together well. There is no clear diagnostic pattern that you fit into.

I suspect the isolated core and e antibodies may be false positives. However, it would be reasonable to check your HBV DNA levels to be certain you do not have virus in your blood.



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