Am I Chronic, Immune, Occult?

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New Member

Date Joined Jan 2018
Total Posts : 2
   Posted 1/30/2018 7:47 PM (GMT -6)   
Good evening forum,

For the last 10 months I was dealing with severe bouts of various types of symptoms with severe bout of fatigue cycles as being the most prominent affecting my daily life and work. This went on since April 2017 on and off until Dec 2017. All of January 2018 I have began to feel normal again. Through this time, I visited multiple specialists from PCP, GI, Neuro, ID, Hema, Rheum, Cancer Clinic (10yr cancer survivor) trying to figure out what was going on. Prior to this I was fully healthy and active with no indication I could have HBV. All my blood work thru this has been normal (Liver Panel, CBCs, kidneys, literally everything). My ALT on a 7-56 scale has always been between 30-35 for the last 5 years, while on the 0-40 scale it’s been 17-21 this past year.

Last week my Rheum ran a hepatitis panel and it came back positive for exposure to Hep A and B.

Hep B Surface Antibody - non reactive
Hep B Surface Antigen QL - Nonreactive
Hep B Core AB Total - reactive

Hep B surface antibody immunity - <5 mIU/mL

Hep A Core AB total - reactive

So I don’t have immunity but the surface antigen is also negative. How is this interpreted? Five years ago I got these same results when donating blood. At the time I felt normal with no issues and the blood bank told me I likely was immune but you should follow up with a Doctor. I didn’t at the time because I was young and feeling fine and read that 95% of adults become naturally immune.

So here I am today not knowing if I am chronic, occult or an inactive carrier. My surface antigen was negative now and also 5 years ago. Up until last year I was feeling fine and all my blood work has been normal and CT scans as well for the last 10 years ( last year they said there was a tiny probable cyst in my liver).

Any comments anyone?

I would appreciate it. I am worried.


Post Edited (JosephTex) : 1/31/2018 2:47:44 PM (GMT-7)

ppm guy
Veteran Member

Date Joined Apr 2010
Total Posts : 1166
   Posted 1/31/2018 10:53 AM (GMT -6)   
Hi JosephTex and welcome,
You don’t have hep b. Your tests show a resolved exposure.’

I have had hep a,b and c. My hep A and b tests are the same as yours. I had hep b many years ago. I passed the virus naturally. Many years later, I lost the immunity.

The 95% number means: 95% of hep b infections resolve naturally (immune responses)leaving you immune to further exposures. I never knew I had hep b or A. They can be asymptomatic.

Hope that helps

New Member

Date Joined Jan 2018
Total Posts : 2
   Posted 1/31/2018 11:05 AM (GMT -6)   
Thanks for the reply!

So because the surface antigen gene is non reactive and has been twice in a five year span, I have cleared the infection? Shouldn’t my body have developed surface antibodies to say for sure I have cleared the infection?

I guess I am worried that because I don’t have surface antibodies, I could still have active virus DNA replicating or a mutant surface antigen that is not detectable using conventional testing.

The only reason it just became a concern is because for the last 10 months I was dealing with unexplained extreme fatigue, weakness, shortness of breath, muscle and joint aches/pain, headaches, insomnia. All the tests I had done were all normal and they so happened to run the hepatitis panel.
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