Important note: Information in this article was accurate in 1987. The state of the art may have changed since the publication date.
Long-term follow-up of 60 patients with chronic hepatitis B. II. Hepatitis B virus DNA in serum correlated to the hepatitis Be-system and presence of delta superinfection.
Liver. 1986 Oct;6(5):292-6. Unique Identifier : AIDSLINE MED/87063286 Hansson BG; Lindh G; Weiland O; Glaumann H; von Sydow M; Nordenfeldt E
Abstract:
Forty-six patients with liver biopsy-documented chronic hepatitis B were followed for a mean period of 44 months. A total of 200 serum samples from these patients was analyzed for the presence of hepatitis B virus DNA (HBV-DNA). The results were correlated to the HBeAg/anti-HBe status and to the presence of anti-delta as a marker for delta superinfection. In the initial serum samples HBV-DNA was detected in the vast majority of the patients independent of the HBeAg/anti-HBe results and whether the patients were superinfected by delta agent or not. During the complete follow-up period, HBV-DNA was detected in 88% of those patients who were positive for HBeAg, irrespective of the presence or absence of a simultaneous delta infection. When anti-HBe positive, 79% of the patients with anti-delta had detectable HBV-DNA in their sera, while only 43% of those negative for anti-delta were positive for HBV-DNA. The results indicate a high prevalence of virus release into the blood of patients with chronic hepatitis B, especially among patients positive for HBeAg and among those anti-HBe positive patients who have a delta superinfection.
Keywords: Acquired Immunodeficiency Syndrome/COMPLICATIONS Chronic Disease Delta Infection/COMPLICATIONS/*MICROBIOLOGY DNA, Viral/*BLOOD Female Follow-Up Studies Hepatitis Antibodies/ANALYSIS Hepatitis B/COMPLICATIONS/*MICROBIOLOGY Hepatitis B e Antigens/*ANALYSIS/IMMUNOLOGY Hepatitis B Virus/*GENETICS Human Male JOURNAL ARTICLE
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