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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1989-5-30
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pubmed:abstractText |
Following acute hepatitis B virus (HBV) infection, most individuals develop antibodies to HBV surface (anti-HBs) and core antigen (anti-HBc). Prevalence studies have shown that 10-18% develop anti-HBc in the absence of detectable anti-HBs. We report four such cases, all with persistence of serum anti-HBc, who had evidence of a second period of active HBV replication as demonstrated by the reappearance of serum hepatitis B surface antigen (HBsAg). In one patient, an HBsAg subtype difference indicated that the second period of HBsAg-positivity was due to a reinfection. In the other cases, reactivation may also explain the findings. All cases were anti-HIV-1 seropositive at the time of reappearance of HBsAg. There is experimental evidence that anti-HBc has a protective effect against HBV infection; however, this may require intact cell-mediated immunity to be effective. HIV-1 infection may render such patients susceptible to reinfection. Alternatively, some patients with anti-HBc, but without detectable anti-HBs may have latent HBV infection. Immunosuppression associated with HIV-1 infection may allow reactivation.
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pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Dec
|
pubmed:issn |
0269-9370
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
2
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
443-8
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pubmed:dateRevised |
2009-9-29
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pubmed:meshHeading |
pubmed-meshheading:3149492-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:3149492-Adult,
pubmed-meshheading:3149492-HIV-1,
pubmed-meshheading:3149492-Hepatitis B,
pubmed-meshheading:3149492-Hepatitis B Antibodies,
pubmed-meshheading:3149492-Hepatitis B Surface Antigens,
pubmed-meshheading:3149492-Hepatitis B virus,
pubmed-meshheading:3149492-Humans,
pubmed-meshheading:3149492-Male,
pubmed-meshheading:3149492-Virus Replication
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pubmed:year |
1988
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pubmed:articleTitle |
Hepatitis B virus reactivation or reinfection associated with HIV-1 infection.
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pubmed:affiliation |
Department of Medical Microbiology, University College and Middlesex School of Medicine, London, UK.
|
pubmed:publicationType |
Journal Article,
Case Reports,
Research Support, Non-U.S. Gov't
|