Hepatitis Serology Overview
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Questions and Answers

What does a positive IgM anti-HAV result indicate?

  • Chronic infection with HAV
  • Previous immunization against HAV
  • Recent or acute infection with HAV (correct)
  • No indication of infection
  • What does a positive result for anti-HBs without HBsAg suggest?

  • Previous cleared infection or vaccination (correct)
  • Active infection
  • Chronic infection
  • Recent acute infection
  • How long can it take for HBsAg to appear in the serum after initial infection?

  • Up to 100 days (correct)
  • 1-7 days
  • 14-30 days
  • More than 6 months
  • What does the presence of anti-HBc indicate?

    <p>Previous or ongoing infection in an undefined timeframe</p> Signup and view all the answers

    When is the IgG anti-HAV typically detectable after symptoms begin?

    <p>From 2 weeks to around 6 months</p> Signup and view all the answers

    What does HBsAg seroconversion indicate?

    <p>Clearing of HBsAg and resolution of infection</p> Signup and view all the answers

    What is a characteristic of IgM anti-HBc?

    <p>It appears at the onset of symptoms in acute hepatitis B</p> Signup and view all the answers

    What does a positive HAV IgM suggest when interpreted with clinical symptoms?

    <p>Acute infection confirmation</p> Signup and view all the answers

    Study Notes

    Hepatitis Serology

    • Hepatitis A Serology
      • IgM anti-HAV test: Detects IgM antibodies produced during initial hepatitis A infection, usually detectable 2 weeks after symptom onset.
      • IgG anti-HAV test: Detects IgG antibodies that develop later in the infection and persist for life, providing long-term immunity and indicating past infection.
      • A positive IgM result might indicate a recent infection, needing consideration for clinical symptoms and exposure history.
      • A positive IgG result confirms immunity to hepatitis A.

    Hepatitis B Serology

    • Hepatitis B Surface Antigen (HBsAg): Protein on the surface of HBV, the first detectable marker of infection, which sometimes takes up to 100 days to appear in the blood.
      • HBsAg seroconversion: The development of antibodies against HBsAg (anti-HBs), signifying clearance of HBsAg and the resolution of the infection.
      • Persistent HBsAg for more than six months signifies chronic active infection.
      • Anti-HBs: The antibody produced by the body in response to HBsAg. A positive anti-HBs result without HBsAg signifies either a previous infection or successful vaccination for hepatitis B. Anti-HBs persists for life and signifies immunity to hepatitis B.
    • Antibody to Hepatitis B core antigen (anti-HBc), IgM & IgG
      • Appears during the onset of symptoms in acute hepatitis B and persists for life.
      • Detecting anti-HBc indicates a previous or current hepatitis B infection.
      • IgM anti-HBc appears during the initial infection, and its presence indicates recent infection within the last six months.
      • Over time, IgM anti-HBc is replaced by IgG anti-HBc
      • Anti-HBc, therefore, is seen in individuals with resolved infections or chronic hepatitis B.

    Hepatitis C Serology

    • Anti-HCV: Indicates either a past or current HCV infection.
      • A negative Anti-HCV test result: Suggests no prior or current HCV infection.
      • A positive Anti-HCV test result: Suggests a current infection, or past infection.
    • HCV RNA: Indicates the presence of HCV in the blood.
      • A negative HCV RNA test result: Suggests no current HCV infection.
      • A positive HCV RNA test result: Identifies a current infection and viral replication.

    Summary Table (Hepatitis B)

    Condition HBsAg Anti-HBs Anti-HBc
    Susceptible Negative Negative Negative
    Vaccinated Negative Positive Negative
    Past Infection Negative Positive Positive
    Acute Infection Positive Negative IgM Positive
    Chronic Infection Positive Negative IgG Positive

    Summary Table (Hepatitis C)

    Condition Anti-HCV HCV RNA
    Nonreactive Negative Negative
    Current Infection Positive Positive
    Past Infection Positive Negative

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    Hepatitis Serology - Dena PDF

    Description

    Explore the key aspects of hepatitis serology including tests for Hepatitis A and Hepatitis B. Understand the significance of IgM and IgG antibodies, as well as the markers for Hepatitis B infection. This quiz will help reinforce your knowledge of serological markers and their implications in clinical settings.

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