Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates
The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with...
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my.usim-83742017-02-23T07:18:31Z Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates Ahmad Najib, Azmi, Soek-Siam, Tan, Rosmawati, Mohamed, Chronic hepatitis B Hepatitis B e antigen-negative Treatment candidates Hepatitis B s antigen level Nucleos(t)ides analogues Pegylated interferon The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with a range of viral replication and liver disease severity. Although alanine transaminase (ALT) remains the most accessible test available to clinicians for monitoring the liver disease status, further evaluations are required for some patients to assess if treatment is warranted. Guidance from practice guidelines together with thorough investigations and classifications of patients ensure recognition of who needs which level of care. This article aims to assist physicians in the assessment of HBeAg-negative individuals using liver biopsy or non-invasive tools such as hepatitis B s antigen quantification and transient elastography in addition to ALT and hepatitis B virus DNA, to identify who will remain stable, who will reactivate or at risk of disease progression hence will benefit from timely initiation of anti-viral therapy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved. 2015-06-15T07:44:20Z 2015-06-15T07:44:20Z 2014-01-01 Article 1007-9327 2219-2840 http://ddms.usim.edu.my/handle/123456789/8374 en Baishideng Publishing Group Inc |
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Chronic hepatitis B Hepatitis B e antigen-negative Treatment candidates Hepatitis B s antigen level Nucleos(t)ides analogues Pegylated interferon |
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Chronic hepatitis B Hepatitis B e antigen-negative Treatment candidates Hepatitis B s antigen level Nucleos(t)ides analogues Pegylated interferon Ahmad Najib, Azmi, Soek-Siam, Tan, Rosmawati, Mohamed, Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
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The natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with a range of viral replication and liver disease severity. Although alanine transaminase (ALT) remains the most accessible test available to clinicians for monitoring the liver disease status, further evaluations are required for some patients to assess if treatment is warranted. Guidance from practice guidelines together with thorough investigations and classifications of patients ensure recognition of who needs which level of care. This article aims to assist physicians in the assessment of HBeAg-negative individuals using liver biopsy or non-invasive tools such as hepatitis B s antigen quantification and transient elastography in addition to ALT and hepatitis B virus DNA, to identify who will remain stable, who will reactivate or at risk of disease progression hence will benefit from timely initiation of anti-viral therapy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved. |
format |
Article |
author |
Ahmad Najib, Azmi, Soek-Siam, Tan, Rosmawati, Mohamed, |
author_facet |
Ahmad Najib, Azmi, Soek-Siam, Tan, Rosmawati, Mohamed, |
author_sort |
Ahmad Najib, Azmi, |
title |
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
title_short |
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
title_full |
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
title_fullStr |
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
title_full_unstemmed |
Practical approach in hepatitis B e antigen-negative individuals to identify treatment candidates |
title_sort |
practical approach in hepatitis b e antigen-negative individuals to identify treatment candidates |
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Baishideng Publishing Group Inc |
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2015 |
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http://ddms.usim.edu.my/handle/123456789/8374 |
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1645152404629356544 |
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13.211869 |