Advise regarding CHB status.

Posted By manny on October 13, 1998 at 14:47:39:









Dear Doctor
In 1993, I had a routine Hepatitis B screening wherein it was discovered
that I had acquired HBsAg NEGATIVE & ANTI HBs POSITIVE(greater than
120mIU/ml) status. Based on the above, it was told me that I had
suffered a subclinical infection which had me naturally immunized and
that I was NOT a carrier of the disease; healthy or otherwise.
Recently, I was required to carry out some blood investigations, among
which included Hepatitis B screening. However, only the ANTI HBe(EIA
method) was done and that returned POSITIVE. No other said viral
parameters were done. Liver enyzmes, AST(21U/L) & ALT(38U/L) were normal
except for GGTP which was high at 154U/L. For the non-fasting lipids;
LDL was at 140MG/DL(high) and CHOL/HDL RATIO was at 6.2(high).
Please advise me:
        IF further investigations are required for CHB.
The persistence of ANTI HBe for these many years, which to my understanding is present
during the convalescence phase of active Hepatitis B.
        Any correlations between the elevated GGTP and CHB.
        If but any correlations between the elevatad levels of GGTP & LDL.
        
The need to consult a local Hepatologist.
The above investigations were carried at different centers by different
requesting physicians.
Thank you for your generosity and expertise.
Hoping to hear from you.
Sincerely,
Manny