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What category acute or chronic?
May 12, 2009

Dear Barbara,

Good evening and how are you? I just want to know if what is my category of hepa B, acute or chronic.My doctor told me before that i have only less virus.Below is my profile During screening; HBsAg with titer H 3490 reactive HBE 0.004 IU/L reactive HBC IgG 0.007 reactive

During HBV-DNA test RESULT ref.range 250.26 0 - 0 copies/mL 43.00 0 - IU/mL Limit of quantification

6.0-110,000,000 IU/ML 35-40,200,000 HBV copies/ML

best regards

Response from Dr. McGovern

The main way you can tell if you just got Hepatitis B is to fractionate your core antibody into IgM and IgG components. If your laboratories show an IgM antibody then you just got infected.

If IgG positive and your surface antigen is reactive, you are either on your way to clearing virus on your own or you may develop chronic infection. Most adults clear on their own (eg, they become surface antigen non-reactive).

However, you will only know the outcome for sure after six months have passed. At that time, if your surface antigen is still reactive, then you definitely have chronic infection. It is chronic "active" if you have virus in your blood. If you have no detectable virus, then you have chronic "inactive" infection.


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