Monday, April 7, 2008

Diagnosis of acute hepatitis B how slow

Acute hepatitis B (1) can epidemiological history or blood transfusion, blood products or other drug injection (2) clinical manifestations of acute hepatitis (3) liver function tests, particularly ALT, AST increased, or may be associated with accompanied by increased bilirubin (4) acute phase: HBsAg positive, can be accompanied by a short HBeAg and HBV-DNA or DNAP positive high-titer anti-HBc.IgM positive, positive anti-HBc.IgG low titer; (5) recovery: HBsAg and anti-HBc.IgM low titer (down), and finally negative. Anti-HBc.IgG titer increased, there were anti-HBs.
Chronic Hepatitis B (1) There may be a history of acute hepatitis (often not obvious), (2) clinical performance and abnormal liver function over six months or more (3) HBsAg positive sustained over six months, with the total anti-HBc antibody and the IgG antibody positive activities such as anti-HBc.IgM period can be a medium, and low positive titer (4) HBeAg and HBV-DNA and DNAP positive or negative and the three former anti-HBe positive (5) for liver biopsy further defined chronic persistent hepatitis, chronic active hepatitis or chronic lobular hepatitis. Asymptomatic carriers of HBsAg without any clinical signs and symptoms of hepatitis, liver function was normal, sustained HBsAg positive for more than six months.

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