Patient's question:
My wife's hepatitis B test shows negative HBsAg, positive anti-HBs, negative HBeAg, positive anti-HBe, and positive anti-HBc. The doctor said it's a "little three positive" and needs a DNA test for a detailed check. I searched online and found it's said to be in the recovery phase. Is it that the doctor lacks medical ethics?Doctor's answer:
Hepatitis B Test: HBsAg negative, anti-HBs positive, HBeAg negative, anti-HBe positive, anti-HBc positiveHBsAg is a marker of hepatitis B virus infection, while anti-HBs is the primary marker of recovery or resistance. HBeAg indicates viral replication, and persistence for more than 3 months suggests chronicization. HBeAb indicates the cessation of viral replication, with reduced infectivity. Anti-HBc is a marker of past infection or reactivation during the incubation period.
Core antibody IgM is a sign of recent infection or active viral replication, while core antibody IgG appears after infection and plays a significant role in supporting the "two pairs and a half" test.