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Hepatitis B Main Forums => Hepatitis B => Topic started by: dtxhepb on October 12, 2016, 09:32:21 pm

Title: Some help deciphering lab results
Post by: dtxhepb on October 12, 2016, 09:32:21 pm
Background:  I was born with Hep B but didn't know it until I was 18.  At 34, my ALT/AST shot up to around 300, so my doctor put me on Baraclude .5mg daily to put a stop to that.  Since then, my ALT/AST has been around 10-15 with no detectable viral load.  I get bloodwork done every 6-12 months. 

My blood test from a year ago says the usual:

HBsAB, Qual - reactive
HBsAG - confirmed reactive
DNA viral load - undetectable
HBeAG - Positive
HBeAB - Negative

So now I'm 38 and I see something new appear on the bloodwork:

HBsAB, Quant - 10.60 mIU/ml
HBsAB, interpreted - Immune
HBsAG - confirmed reactive
DNA viral load - undetectable
HBeAG - Positive
HBeAB - Negative

With the appearance of the surface antibody, does that mean a start to seroconversion?  Or is this just false positive?


Title: Re: Some help deciphering lab results
Post by: Lynn K on October 12, 2016, 09:34:24 pm
Hep B test results are difficult for a lay person to interpret you should ask your doctor.
Title: Re: Some help deciphering lab results
Post by: dtxhepb on October 12, 2016, 09:42:45 pm
I plan to, but he is very hard to get ahold of.  It will be a week until I hear back from him.  I'm just curious if anyone else has seen these type of results.
Title: Re: Some help deciphering lab results
Post by: Lynn K on October 12, 2016, 10:05:11 pm
I haven't seen many hep b patients here who might know more about test results. I hope someone comes along to help you out.

I hope this might help

https://www.hepb.org/assets/Uploads/understanding-blood-tests.pdf

Understanding Hepatitis B Blood Tests

"Understanding your hepatitis B blood test results can be confusing. It is important to discuss your test results with your health care provider so that you can clearly understand whether you have a new infection, chronic infection, or have recovered from an infection. You may want to take this sheet with you to your appointment as a reference guide. In addition, it is helpful if you request a written copy of your blood tests so that you can be sure you know which tests are positive or negative."
Title: Re: Some help deciphering lab results
Post by: lporterrn on October 13, 2016, 04:38:16 pm
Your doc will have to help you sort that one out. These results don't line up easily for me to even try to guess at. Here are more resources: https://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf (https://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf)
https://www.hepmag.com/basics/hepatitis-b-basics/hepatitis-b-progression (https://www.hepmag.com/basics/hepatitis-b-basics/hepatitis-b-progression)
https://www.hepmag.com/basics/hepatitis-b-basics/hepatitis-b-testing (https://www.hepmag.com/basics/hepatitis-b-basics/hepatitis-b-testing)