KEVIN M. DE COCK, M.D., M.R.C.P., D.T.M.&H.; SUGANTHA GOVINDARAJAN, M.D.; BOONTAR VALINLUCK, B.S.; ALLAN G. REDEKER, M.D.
Patients with fulminant hepatitis B have hepatitis B surface antigen (HBsAg) and hepatitis B e antigen (HBeAg) detected for shorter periods than do patients with nonfulminant infections, and they show early and enhanced production of antibodies to HBsAg, HBeAg, and hepatitis B core antigen (HBcAg) (1-3). These observations have been interpreted as evidence that fulminant hepatitis results from the host's immunologic response to the infection rather than from hepatitis B virus replication.
Modern techniques for detecting hepatitis B virus DNA in serum provide the most sensitive method available for showing active viral replication (4-6). We examined hepatitis B virus DNA
DE COCK KM, GOVINDARAJAN S, VALINLUCK B, REDEKER AG. Hepatitis B Virus DNA in Fulminant Hepatitis B. Ann Intern Med. ;105:546–547. doi: 10.7326/0003-4819-105-4-546
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Published: Ann Intern Med. 1986;105(4):546-547.
Gastroenterology/Hepatology, Infectious Disease, Liver Disease, Viral Hepatitis.
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