I recently had a blood test performed - which included Hepatitis B - where the Total anti-HBc was positive and the IgM anti-HBc was negative. While I have seen many charts showing how to interpret HBV test results, I have yet to find anything showing or otherwise explaining this combination. (Incidentally, the anti-HBs was positive and HBsAG was negative.)
I was immunized, at one point, for HBV but I never finished the series. I do not recall when I was immunized, but I think it was 5 or more years ago. Is it possible that anti-HBs was positive because of the immunization, but that total anti-HBc was positive because I actually had HBV due to an imcomplete vaccination series? I never had any symptoms. I believe I am now immune but:
Am I a carrier? Could I infect my spouse or children? Can I donate blood? Do I need to be concerned with liver damage? Do I need further testing?
In summary, how do I interpret test results where the only positive results were for anti-HBs and total anti-HBc?
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