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Medicine Hepatitis 28f2ffce

A 35-year-old male patient presented with history of jaundice for 15 days. The onset was preceded by a prodromal illness. His serum tested positive for HbsAg. A clinical diagnosis of acute hepatitis B was made. What should be the next best confirmatory investigation?

A
Anti-HbeAg antibody
B
Hbe antigen
C
Anti-Hbe IgM antibody
D
Anti-HbsAg antibody
High-Yield Explanation
Since IgM anti-HBcAg is not given in the choices, HBeAg, appears concurrently with or sholy after HBsAg. Its appearance coincides with high levels of virus replication & reflects presence of circulating intact virions and detectable HBV DNA In self-limited HBV infections, HBeAg becomes undetectable sholy after peak elevations in aminotransferase activity, before the disappearance of HBsAg, and anti-HBe then becomes detectable, coinciding with a period of relatively lower infectivity. Its principal clinical usefulness is as an indicator of relative infectivity.

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