size of enveloped Hepa B virus
42 mm
genome of hepa B
dsDNA
earliest serological marker indicating acute/chronic infection
HBsAg
principle of the test
immunochromatography (solid phase “sandwich” immunoassay)
2 stages of infection
acute: general flue-like
progressive: hepatomegaly, jaundice, dark urine, ight feces
initial lab test
elevation in billirubin and liver enzymes (ALT)
diagnosis of hepa B
realtime PCR- sensitive as few as 10 copies per mL
HBV DNA viral load
serologic markers
HBsAg- active
HBeAg- infective
IgM anti HBc- current/recent/acute
total anti HBc- current/past
anti HBe- recovery from hepa B
anti HBs- immunity
HBV DNA