HBsAg Positive - how know accute or chronic?
Apr 1, 2012
Hello, my tests show HBsAg Positive [Anti-HBc=Negative; Anti-HAV=9; Anti-HBs<2; Hepatitis C Ab=Negative; TSH=1.49]. My Dr said my liver is functioning fine so I am not accute. Does this mean I'm chronic? If I'm not accute, what else could it be but chronic? Is HBsAg fales positive possible? Thank you! You are very kind for answering.
Response from Dr. McGovern
The entire profile doesn't really make sense...If your HBsAg is positive, your anti-HBc should also be reactive.
I would recheck both your HBsAg and your anti-HB core IgM antibody AND an IgG antibody. If the IgM is reactive, it would suggest acute infection. If IgG reactive, it would suggest chronic infection.
If neither is reactive, then I would talk to the laboratory supervisor to see if a confirmatory test for the HBsAg was done - it might be a false positive.
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