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Sorted By Test Name - Mayo Medical Laboratories

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EAG<br />

80510<br />

HBGCD<br />

83626<br />

Hepatitis Be Antigen, Serum<br />

Clinical Information: Hepatitis Be antigen (HBeAg) is found in the early phase of hepatitis B<br />

infection soon after hepatitis Bs antigen becomes detectable. Serum levels of both antigens rise rapidly<br />

during the period of viral replication. The presence of HBeAg correlates with hepatitis B virus (HBV)<br />

infectivity, the number of viral Dane particles, the presence of core antigen in the nucleus of the<br />

hepatocyte, and presence of viral DNA polymerase in serum. In HBV carriers and patients with chronic<br />

hepatitis B, positive HBeAg results usually indicate presence of active HBV replication and high<br />

infectivity. A negative HBeAg result indicates very minimal or lack of HBV replication. See Viral<br />

Hepatitis Serologic Profile and HBV Infection-Diagnostic Approach and Management Algorithm in<br />

Special Instructions. In addition, see The Laboratory Approach to the Diagnosis and Monitoring of<br />

Hepatitis B Infection in Publications.<br />

Useful For: Determining infectivity of hepatitis B virus (HBV) carriers Monitoring infection status of<br />

chronically HBV-infected patients Monitoring serologic response of chronically HBV-infected patients<br />

who are receiving antiviral therapy<br />

Interpretation: Presence of hepatitis Be (HBe) antigen and absence of HBe antibody usually indicate<br />

active hepatitis B virus (HBV) replication and high infectivity. Absence of HBe antigen with appearance<br />

of HBe antibody is consistent with resolution of HBV infectivity.<br />

Reference Values:<br />

Negative<br />

See Viral Hepatitis Serologic Profiles in Special Instructions.<br />

Clinical References: 1. Servoss JC, Friedman LS: Serologic and molecular diagnosis of hepatitis B<br />

virus. Clin Liver Dis 2004;8:267-281 2. Badur S, Akgun A: Diagnosis of hepatitis B infections and<br />

monitoring of treatment. J Clin Virol 2001 Jun;21(3):229-237<br />

Hepatitis Bs Antigen (HBsAg) for Cadaveric or Hemolyzed<br />

Specimens, Serum<br />

Clinical Information: Hepatitis B virus (HBV) is endemic throughout the world. The infection is<br />

spread primarily through percutaneous contact with infected blood products (eg, blood transfusion,<br />

sharing of needles by intravenous drug addicts). The virus is also found in various human body fluids, and<br />

it is known to be spread through oral and genital contacts. HBV can be transmitted from mother to child<br />

during delivery through contact with blood and vaginal secretions, but it is not commonly transmitted<br />

transplacentally. Hepatitis B surface antigen (HBsAg) is the first serologic marker appearing in the serum<br />

at 6 to 16 weeks following HBV infection. In acute infection, HBsAg usually disappears in 1 to 2 months<br />

after the onset of symptoms. Persistence of HBsAg for >6 months indicates development of either a<br />

chronic carrier or chronic HBV infection.<br />

Useful For: <strong>Test</strong>ing cadaveric and hemolyzed blood specimens for hepatitis B surface antigen;<br />

FDA-licensed for use with hemolyzed specimens Diagnosis of acute, recent (

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