|Hepatitis D question
May 23, 2000
Dr, Thank You for your efforts on this site. I understand Hep D needs the HBsAg. After an acute Hep B and generation of AntiHBs with clearance of HBsAg, and assuming, a co-infection with HepB during the acute phase. Can HepD stick around even if the body developed antibodies for HB? I am asking the question because my liver tests are on the "higher" side for ALT and Alk. Phos. however, I have AntiHBs (which means no chronic infection with HB and naturally immune). Should I test for HepD? Thanks
| Response from Dr. Pavia
A very good question. Hep D is a very unusual virus. It needs to infect a cell which is also actively infected with Hep B in order to reproduce. Clinically, what we see is either someone with stable but chronic Hep B (Hep BsAg positive) who suddenly becomes much worse, or someone who is simultaneously co-infected with both, and usually has a severe course.
Bottom line is that if you are HbSAb positive (antiHbS) and HbSAg negative, you have cleared your infection, and to our knowledge, cannot be affected by Hep D. Hope this helps
Andrew T. Pavia, M.D.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- What If You Are Not Cured After Taking Bacterial Vaginosis Medications?
- What Does A Herpes Simplex Outbreak Feel Like?
- What Color Is The Fluid Inside Herpes Blisters?
- What Color Are Genital Warts From Hpv?
- What Can I Do To Ease The Pain From Genital Herpes?
- Can Washing After Sex Can Help Prevent Herpes?
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.