Chronic Hepatitis B since 1978
Oct 21, 2012
I just recieved my bloodwork back- Hep B Surface Ab > 100 and HBsAg Screen Negative. Not sure what this means. I also am told by my doctor that I have some scerosis (sp) of the liver due to my Hepatitis B. Would these results show that condition? Do these tests reveal that I do not have the virus anymore and that my liver is healthy? I do go out to eat a few times a week and usually have a martini before dinner- is this very bad for my liver? I only have 2 drinks per week if that. Thank you.
Response from Dr. Holodniy
Neither one of those tests can determine the condition of your liver. The HBV surface antibody test that is positive, and the HBV surface antigen test that is negative, either represents a situation of having received the HBV vaccine, or natural exposure to the virus and likely clearance of the virus. An additional test, the HBV core antibody test would also be positive after exposure and clearance of the virus and not after vaccination. Cirrhosis of the liver requires additional testing for liver function, scanning the liver, and/or a liver biopsy to make such a diagnosis. So it is difficult to comment about without additional information.
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