Hepatitis B diagnostic criteria: Difference between revisions
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{{Hepatitis B}} | {{Hepatitis B}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
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Revision as of 11:48, 30 July 2014
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Hepatitis B |
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Diagnosis |
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Treatment |
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Case Studies |
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Hepatitis B diagnostic criteria On the Web |
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American Roentgen Ray Society Images of Hepatitis B diagnostic criteria |
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Risk calculators and risk factors for Hepatitis B diagnostic criteria |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Diagnostic Criteria
| Stage of Hepatitis B | Lab Findings |
|---|---|
| Chronic State | 1. HBsAg-positive >6 months |
| 2. Serum HBV DNA >20,000 IU/mL (105copies/mL), lower values 2,000-
20,000 IU/mL (104-105copies/mL) are often seen in HBeAg-negative chronic hepatitis B | |
| 3. Persistent or intermittent elevation in ALT/AST levels | |
| 4. Liver biopsy showing chronic hepatitis with moderate or severe necroinflammation | |
| Carrier State | 1. HBsAg-positive >6 months |
| 2. HBeAg–, anti-HBe+ | |
| 3. Serum HBV DNA <2,000 IU/mL | |
| 4. Persistently normal ALT/AST levels | |
| 5. Liver biopsy confirms absence of significant hepatitis | |
| Resolved | 1. Previous known history of acute or chronic hepatitis B or the presence of anti-HBc ± anti-HBs |
| 2. HBsAg- | |
| 3. Undetectable serum HBV DNA | |
| 4. Normal ALT levels |