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Cited 9 time in webofscience Cited 11 time in scopus
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Role of Hepatitis B Surface Antigen (HBsAg) in Identifying True Inactive HBsAg Carriers Infected With Genotype C Hepatitis B Virus

Authors
Yim, Sun YoungUm, Soon HoJung, Jin YoungSeo, Yeon SeokYim, Hyung JoonRyu, Ho SangChun, Hoon JaiJeen, Yoon TaeKim, Chang DuckKeum, BoraLee, Hong Sik
Issue Date
Feb-2014
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
HBeAg-negative chronic hepatitis B; inactive carriers; serum HBsAg levels; serum HBV DNA levels
Citation
JOURNAL OF CLINICAL GASTROENTEROLOGY, v.48, no.2, pp.166 - 171
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF CLINICAL GASTROENTEROLOGY
Volume
48
Number
2
Start Page
166
End Page
171
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9607
DOI
10.1097/MCG.0b013e3182a4711d
ISSN
0192-0790
Abstract
Background:Inactive and active phases of hepatitis B e antigen-negative chronic hepatitis B virus (HBV) infection are diagnosed by serum HBV DNA levels, with cutoff at 2000 IU/mL. However, it is difficult to distinguish inactive carriers at a single time point because HBV DNA levels can transiently decrease to <2000 IU/mL even in noninactive carriers.Goals:We aimed to establish the role of serum hepatitis B surface antigen (HBsAg) in identifying true inactive carriers among treatment-naive genotype C HBV-infected patients with low viremia.Study:A total of 133 hepatitis B e antigen-negative carriers with serum HBV DNA levels of <2000 IU/mL and normal alanine aminotransferase levels were enrolled and followed up for >12 months.Results:Forty patients (30.1%) were classified as noninactive carriers (HBV DNA 2000 IU/mL and/or alanine aminotransferase >40 IU/L) during 12 months from enrollment. No baseline serum HBV DNA levels could identify true inactive carriers with 100% specificity, whereas baseline serum HBsAg levels (50 IU/mL) identified true inactive carriers with 100% specificity and 29% detection rate. Detection rate increased when different cutoff levels were applied to different age groups according to median age (46 y). It was comparable in both younger and older groups (37.2% vs. 38%) even when HBsAg cutoff level was increased in the former (400 vs. 50 IU/mL). Furthermore, none reversed to noninactive phase during long-term follow-up when these cutoff levels were applied.Conclusions:Baseline serum HBsAg levels at a single time point can identify persistently true inactive carriers, with different cutoff levels according to age.
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5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Internal Medicine > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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Keum, Bora
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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