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Sujet vacciné

1 ère intention (Ag HBs , Ac anti- HBs , Ac anti- HBc ). 2 ème intention (Ag HBe , Ac anti- HBe , IgM anti- HBc ). 3 ème intention (Virémie). Ag HBs. isolés (rare). isolés. Ac anti- HBs. Phase précoce d’une hépatite aiguë. Ac anti- HBs. +. Ac anti- HBc. Sujet vacciné.

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Sujet vacciné

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  1. 1ère intention (Ag HBs, Ac anti-HBs, Ac anti-HBc) 2ème intention (Ag HBe, Ac anti-HBe, IgM anti-HBc) 3ème intention (Virémie) Ag HBs isolés (rare) isolés Ac anti-HBs Phase précoce d’une hépatite aiguë Ac anti-HBs + Ac anti-HBc Sujet vacciné Sujet guéri IgM anti-HBc positif isolés Ac anti-HBc Primo-infection IgM anti-HBc négatif ou faible Infection ancienne + Ag HBe IgM anti-HBc Primo-infection ou réactivation d’une hépatite chronique Phase active d’un mutant pré-C ADN VHB Ag HBs + positif Ac anti-HBe Ac anti-HBc Porteur asymptomatique ou phase de séroconversion « e » ADN VHB négatif

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