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HBsAg 과 HBsAg 가 동시에 출현한 19 예에 대한 임상적 고찰
이남(Nam Lee),변동일(Dong Il Byun),김성근(Sung Kuen Kim),이광래(Kwang Lae Lee),최일균(Il Kyun Choi),최조영(Jo Young Choi),곽정재(Jung Jae Kwack),이상용(Sang Yong Lee) 대한내과학회 1987 대한내과학회지 Vol.33 No.4
N/A The usual sequence of events in the serum in response to infection with hepatitis B virus does not include the sustained presence of both HBsAg and it antibody, HBsAb becomes detectable after HRsAb has been cleared from the serum. The presence of HBsAg implies infectivity of the serum, wherase that of HBsAb indicated recovery from HBV infection, immunity from subsequent infection, and noninfectivity of the serum. However, we found and evaluated 19 patients who have had coexistent HBsAg and HRsAb. To study hepatitis B virus maker was done by using RIA technique (Ausria ll and Ausab, Abbott Laboratories, North Chicago, Illinois) The following results were obtained. 1) 2475 Patients with HBsAg positive were 26% in 9501 patients that studied both HBsAg and HBsAb. 19 patients with HBsAg and HBsAb present simultaiously, were 0.076% in 2475 patients with HBsAg positive. 2) HBcAb was positive in all of 14 patients. HBeAg was positive in 4 of 5 patients and HBeAb was negative in all of 5 patients. 3) 2 of 19 patients (10.5%) had liver cirrhosis and 3 of 19 patients (15.8%) had hepatoma at their initial medical evaluation. 4) 10 of 19 patients were positive persistently circulating hepatitis B surface antigen and antibody. The duration of concomitant HBsAb and HBsAb was from 2 to 211 weeks (mean 70.4 weeks) 5) 9 of 10 patients were positive for both HBsAg and HBsAb at their initial medical evaluation, And the presence of HBsAg antedated that of HBsAg and HBsAb simultaneously in one patient of pediatrics for 29 months. 6) Two patients had only HBsAb negative after both HBsAg and HBsAb were found, HBsAb titers of above two patients were significant lower than HBsAb titiers of 19 patients with concomitant HBsAg and HBsAb (HBsAb titer: 1124±174cpm VS 4977±4077cpm, P<0.01) 7) 5 of 10 patients were postivie persistently circulating hepatitis R surface antigen and antibo4y for above 6 months. There were no significant difference in HBsAb titer between above 5 patients and 19 patients with concomitant HBsAg and HBsAb. (HBsAb titer: 6909±4696cpm VS 4977±4007cpm) 8) HBsAb titer of 19 patients with concomitant HBsAg and HBsAb were significant lower than in HRsAb titer of 50 patients with HBsAg (-) HBsAb (+). This result suggest that 19 patients with concomitant HBsAg and HBsAb had relatively lower HBsAb titier. (HBsAg titer: 4977±4007cpm VS 7124±4011cmp, P<0. 05)