Patient's question:
Here is a laboratory report from a 12-year-old male child who has never been tested before. These are the results from a recent health check-up.Hepatitis B panel: HBSAg positive, anti-HBS negative, HBeAg positive, anti-HBe negative, HBC positive.
Liver function: Total protein 72.0 g/L, albumin 43.2 g/L, globulin 28.8 g/L, albumin-to-globulin ratio 1.50, total bilirubin 8.7 umol/L, direct bilirubin 2.8 umol/L, indirect bilirubin 5.9 umol/L, ALT 13 U/L, AST 26 U/L, ALT/AST ratio 0.50, alkaline phosphatase 354 U/L, GGT 11 U/L.
Viral load: HBV-DNA 1.28 × 10^7 COPIES/ML.
Please help the experts make an assessment. Is the condition serious? Does it require treatment?
Doctor's answer:
Hello: This situation is not too serious, although it is chronic hepatitis B. There is no liver damage, and liver function is normal. It can be treated with antiviral therapy. Chronic hepatitis B is a serious condition, and patients are advised to seek timely symptomatic treatment and follow their doctor's recommendations. At the same time, it is important to pay attention to self-care, maintain a proper diet, and avoid worsening the condition. The above information is hoped to assist you.