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IR Acute Hepatitis B

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Serologic Markers (cont)<br />

• HBeAg‐ protein marker indicating HBV replication and infectivity<br />

– Associated with high levels of HBV DNA in serum and high rates of<br />

transmission from carrier mothers to babies<br />

– HBeAg seroconversion to anti‐Hbe occurs early in acute HBV, typically<br />

before HBsAg seroconversion to anti anti‐ HBs<br />

– Seroconversion may take months to years in pt with chronic HBV but<br />

indicates decrease of serum HBV DNA and remission<br />

• HBV DNA<br />

– Most assays use real time PCR, reporting in IU/mL<br />

– Recovery from acute hepatitis accompanied by disappearance of HBV<br />

DNA in i serum<br />

– Low levels HBV DNA detectable in the blood for many years

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