Natural History of Chronic Hepatitis B Infection

CASE BASED MODULES
Hepatitis A
Hepatitis B
Hepatitis C
Other Hepatitis Viruses
Common Management Issues
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Question | Discussion | References | CME Credit | CNE Credit

You answered:

The patient is in the inactive chronic carrier phase of hepatitis B and can be evaluated again if she develops an increase in hepatic transaminase levels (ALT and AST).

This answer is incorrect. The patient has evidence of active HBV infection as shown by her high HBV DNA levels and positive serum HBeAg.

Choose another answer:

	The patient has acute HBV infection and she should be followed closely to see if chronic infection develops.
	The patient is in the immune tolerant phase and should be followed on a regular basis with ALT levels every 3-6 months (and more frequently if they become elevated).
	The patient has evidence of hepatic inflammation and is in the immune active phase of chronic viral hepatitis; she should immediately start on therapy for HBV.

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