Abstract
Screening with hepatitis B surface antigen (HBsAg) is highly recommended for at-risk individuals. Mutations in the HBsAg can result in an inability to detect the virus during routine screening. We describe a hemodialysis patient found to have high levels of hepatitis B virus (HBV) DNA and HBV antibody but negative HBsAg on two routine assays.
Publication types
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Case Reports
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Research Support, N.I.H., Extramural
MeSH terms
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DNA, Viral / blood*
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False Negative Reactions*
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Female
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Hepatitis B / diagnosis*
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Hepatitis B / virology*
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Hepatitis B Antibodies / blood
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Hepatitis B Surface Antigens / blood*
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Hepatitis B virus / isolation & purification*
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Humans
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Middle Aged
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Renal Dialysis / adverse effects*
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United States
Substances
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DNA, Viral
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Hepatitis B Antibodies
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Hepatitis B Surface Antigens