Bories P, Coursaget P, Goudeau A, Degott C, Maupas P, Benhamou J P
Br Med J. 1978 Feb 18;1(6110):396-7. doi: 10.1136/bmj.1.6110.396.
Antibody to hepatitis B core antigen (anti-HBc), which has been assumed to be a more sensitive indicator of hepatitis B virus replication than hepatitis B surface antigen (HBsAg), was detected in the sera of 26 of our 65 patients with HBsAg-negative chronic active hepatitis. Thus despite the absence of HBsAg the liver disease could be the consequence of chronic infection with hepatitis B virus in these patients. They differed, however, from a group of 35 patients with HBsAg-positive hepatitis in being older on average and having less active liver lesions. The two groups could represent either two stages of chronic infection with hepatitis B virus or two types of response to it.
在我们65例乙肝表面抗原(HBsAg)阴性的慢性活动性肝炎患者中,有26例患者血清中检测到乙肝核心抗原抗体(抗-HBc),该抗体被认为是比乙肝表面抗原更敏感的乙肝病毒复制指标。因此,尽管这些患者没有HBsAg,但肝脏疾病仍可能是乙肝病毒慢性感染的结果。然而,他们与35例HBsAg阳性肝炎患者不同,平均年龄更大,肝脏病变活性更低。这两组患者可能代表乙肝病毒慢性感染的两个阶段,也可能代表对乙肝病毒的两种反应类型。