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What Does This HBV Test Report Indicate?

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Posted on Fri, 17 Jun 2016
Question: Hi I took a Hepatitis B test and am looking for help with the results?
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Answered by Dr. Bonnie Berger-Durnbaugh (2 hours later)
Brief Answer:
You don't have Hepatitis B

Detailed Answer:
Hello and welcome,

The results of a Hepatitis B panel can be confusing. But the results show you don't have Hepatitis B, and apparently have not had the Hep B vaccine.

Here are the meanings of each part of the test.

Hep B Surface AB (surface antibody, sometimes abbreviated Anti HBs):
If this is positive or above 3.1, it means that you either had a Hepatitis B infection in the past and recovered or that you have had the vaccine.

Yours being low just means you never had the infection and never had the vaccine. Not all labs flag a low level, but apparently the lab that did your's anticipates that people should have had the vaccine.

HBSAG (Hepatitis B Surface Antigen)
If this is positive, it means you are actively infectious.

Hep B Core AB (also called anti HBc)
If this is positive, it means you have a previous or ongoing infection.

So, putting it all together, you never had, and don't currently have Hepatitis B. You also (according to the CDC) are considered "susceptible" because you have not had the vaccine (therefore the flag for being under 3.1).

Here is an explanation from the CDC: http://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf

I hope this information helps. Please let me know if I can provide further information or clarification. I'm going to bed in a little while, but if you have further questions I can answer them tomorrow. Best regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (7 hours later)
Thank you. I also took a CBC and it showed high levels of lymphs (absolute) at 3.2 and Monocytes (Absolute) at 1.0. My WBC is within normal range but is a little high at 8.9. MCV at 97 and MCH at 33. The monocytes and lyphs are alarming. Did these test because I've been getting whole body flush skin, turns red and can press and it turns slightly white then red again, and a folliculitis/ heat rash looking rash various spots over my body, eyes that get blood shot with veins allyoo often which wont go away, and now even mouth sores and one on my bottom lip that hurts a lot. Today I will go for a physical examination from a doctor. Any idea what could be causing those results in the white blood count and also the symptoms?
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (3 hours later)
Brief Answer:
Lymphocyte and monocyte levels not worrisome

Detailed Answer:
Hello XXXXXXX

I looked at the labs you uploaded. The lymphocyte and monocyte elevation is very minimal - just over the edge of normal by the lab that did your CBC, and by many standards, not elevated at all. Some put the upper end of lymphocyte range at 3.5. Yours is not in the range where I would have concern about cancer.

Lymphocytes can increase from a wide range of things including viral infections and allergies.

Your symptoms are nonspecific and can be from being run down. Getting a physical exam is a good plan to as this will provide a larger picture of what might be going on.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Does This HBV Test Report Indicate?

Brief Answer: You don't have Hepatitis B Detailed Answer: Hello and welcome, The results of a Hepatitis B panel can be confusing. But the results show you don't have Hepatitis B, and apparently have not had the Hep B vaccine. Here are the meanings of each part of the test. Hep B Surface AB (surface antibody, sometimes abbreviated Anti HBs): If this is positive or above 3.1, it means that you either had a Hepatitis B infection in the past and recovered or that you have had the vaccine. Yours being low just means you never had the infection and never had the vaccine. Not all labs flag a low level, but apparently the lab that did your's anticipates that people should have had the vaccine. HBSAG (Hepatitis B Surface Antigen) If this is positive, it means you are actively infectious. Hep B Core AB (also called anti HBc) If this is positive, it means you have a previous or ongoing infection. So, putting it all together, you never had, and don't currently have Hepatitis B. You also (according to the CDC) are considered "susceptible" because you have not had the vaccine (therefore the flag for being under 3.1). Here is an explanation from the CDC: http://www.cdc.gov/hepatitis/hbv/pdfs/serologicchartv8.pdf I hope this information helps. Please let me know if I can provide further information or clarification. I'm going to bed in a little while, but if you have further questions I can answer them tomorrow. Best regards.