Clinical Gastroenterology Vol.24 No.6(1-1)

Theme Cutting Edge : Pathogenesis and Treatment of Hepatitis B
Title Natural Course of HBV Carriers
Publish Date 2009/06
Author Hiroshi Yatsuhashi Clinical Research Center, NHO Nagasaki Medical Center
Author Sinya Nagaoka Clinical Research Center, NHO Nagasaki Medical Center
Author Naruhiro Hai Clinical Research Center, NHO Nagasaki Medical Center
Author Seigo Abiru Clinical Research Center, NHO Nagasaki Medical Center
[ Summary ] The natural course of HBV carriers was divided into five phases. 1) immune tolerance phase, 2) immune clearance phase (HBeAg+ chronic hepatitis B), 3) low replicative phase (inactive carrier state phase), 4) reactivation phase (HBeAg− chronic hepatitis B), and 5) recovery phase. Recently, high levels of serum HBV-DNA have come to be regarded as one high risk factor in the development of hepatocellular carcinoma related to persistent HBV infections.
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