Page 50 - Clinical Biochemistry 08PB804
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• PCR looks directly for the virus's unique DNA, instead of the method employed by the
standard test, which looks for indirect evidence that the virus is present by searching for
antibodies the body has made against it.
Screening for viral hepatitis: Diagnostics (HBV and HCV)
Serology markers of HBV infection:

                                          Figure 17: HBV antigen

                                                                                HBV antigens:

                                                                                Surface Ag
                                                                                  e Ag
                                                                                 Core Ag

Marker            Normal interpretation
Surface Antigen   Viraemia
e Antigen         High infectivity
Core IgM          Recent acute infection
Surface antibody  Immunity
Core IgG          Exposure to HBV

Quantifying HBV: HBV DNA level or HBsAg?
cccDNA (covalently closed circular) DNA best marker of viral burden
Serum HBV DNA level
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