{"id":2408,"date":"2011-11-21T19:36:21","date_gmt":"2011-11-21T19:36:21","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gashep\/"},"modified":"2025-05-13T20:28:29","modified_gmt":"2025-05-13T20:28:29","slug":"gashep","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gashep\/","title":{"rendered":"Pruebas Serol\u00f3gicas para el Diagn\u00f3stico de Infecci\u00f3n por el Virus de Hepatitis B (VHB)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><span class=\"hps\">Los ant\u00edgenos<\/span>\u00a0<span class=\"hps\">y<\/span>\u00a0<span class=\"hps\">anticuerpos asociados con<\/span>\u00a0<span class=\"hps\">infecci\u00f3n por el virus de hepatitis B (VHB)<\/span>\u00a0<span class=\"hps\">incluyen<\/span>\u00a0al ant\u00edgeno de superficie\u00a0<span class=\"hps atn\">HBsAg (<\/span>ant\u00edgeno\u00a0<span class=\"hps\">Australiano)<\/span>\u00a0<span class=\"hps\">y el anticuerpo<\/span>\u00a0<span class=\"hps\">contra el HBsAg<\/span>\u00a0<span class=\"hps\">(anti<\/span>-HBs), ant\u00edgeno nuclear \u201ccore\u201d de hepatitis\u00a0<span class=\"hps\">B<\/span>\u00a0<span class=\"hps atn\">(<\/span>HBcAg)\u00a0<span class=\"hps\">y anticuerpos contra <\/span><span class=\"hps\">HBcAg<\/span>\u00a0<span class=\"hps\">(anti<\/span>-HBc),\u00a0<span class=\"hps\">y\u00a0<\/span><span class=\"hps\">el ant\u00edgeno e<\/span><span class=\"hps\">\u00a0de la hepatitis<\/span>\u00a0<span class=\"hps\">B<\/span>\u00a0<span class=\"hps\">(HBeAg<\/span>) y\u00a0<span class=\"hps\">anticuerpos contra<\/span>\u00a0<span class=\"hps\">HBeAg<\/span>\u00a0<span class=\"hps atn\">(anti-<\/span>HBe).\u00a0<span class=\"hps\">Por lo menos un<\/span>\u00a0<span class=\"hps\">marcador serol\u00f3gico<\/span>\u00a0<span class=\"hps\">est\u00e1 presente<\/span>\u00a0<span class=\"hps\">durante las diferentes fases<\/span>\u00a0<span class=\"hps\">de la infecci\u00f3n por<\/span>\u00a0<span class=\"hps\">el VHB.<\/span><br \/>\n<!--more--><br \/>\n<strong><span class=\"hps\">Marcadores serol\u00f3gicos de<\/span>\u00a0<span class=\"hps\">las diferentes fases<\/span>\u00a0<span class=\"hps\">de la infecci\u00f3n por<\/span>\u00a0<span class=\"hps\">virus de la hepatitis<\/span>\u00a0<span class=\"hps\">B<\/span>\u00a0<span class=\"hps\">aguda y cr\u00f3nica<\/span><\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td>\n<p align=\"center\">\u00a0HBsAg<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0HBeAg<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0IgM anti-HBc<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0IgG anti-HBc<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Anti- HBs<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Anti- HBe<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0HBV DNA<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Interpretaci\u00f3n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"8\">\n<p align=\"center\">\u00a0Infecci\u00f3n aguda por VHB<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+++<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Fase temprana<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Fase ventana<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0\u00b1<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Fase de recuperaci\u00f3n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"8\">\n<p align=\"center\">\u00a0Infecci\u00f3n cr\u00f3nica por VHB<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+++<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Fase replicativa<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0\u00b1<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0Fase no replicativa, bajo<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0\u00b1<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0<span class=\"short_text\"><span class=\"hps\">Brote de<\/span>\u00a0<span class=\"hps\">infecci\u00f3n cr\u00f3nica por VHB<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td><\/td>\n<td>\n<p align=\"center\">\u00a0+<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0++<\/p>\n<\/td>\n<td>\n<p align=\"center\">\u00a0<span class=\"short_text\"><span class=\"hps\">Mutantes\u00a0<\/span><\/span><span class=\"short_text\"><span class=\"hps\">promotor\u00a0<\/span><\/span><span class=\"short_text\"><span class=\"hps\">precore<\/span><span class=\"hps\">\/core<\/span><\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Interpretaci\u00f3n del Panel para Hepatitis B<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>Interpretaci\u00f3n<\/strong><\/td>\n<td><strong>\u00a0HBsAg<\/strong><\/td>\n<td><strong>\u00a0anti-HBc<\/strong><\/td>\n<td><strong>\u00a0anti-HBs<\/strong><\/td>\n<td><strong>\u00a0IgM anti-HBc<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Susceptible<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0negativo<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\u00a0<span class=\"short_text\">I<span class=\"hps\">nmune<\/span><\/span><span class=\"short_text\"><span class=\"hps\">\u00a0debido<\/span><\/span><span class=\"short_text\">\u00a0<span class=\"hps\">a infecci\u00f3n natural<\/span><\/span><\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0positivo<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Inmune debido a vacunaci\u00f3n de hepatitis B<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0positivo<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>\u00a0Agudamente\u00a0infectado<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0positivo<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Cr\u00f3nicamente\u00a0infectado<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0negativo<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Interpretaci\u00f3n\u00a0poco clara; cuatro posibilidades:<\/p>\n<ol>\n<li>Infecci\u00f3n resuelta (m\u00e1s com\u00fan)<\/li>\n<li>Anti-HBc falso-positivo,\u00a0por lo tanto\u00a0susceptible<\/li>\n<li>\u00abNivel bajo\u00bb infecci\u00f3n cr\u00f3nica<\/li>\n<li>Infecci\u00f3n aguda en resoluci\u00f3n<\/li>\n<\/ol>\n<\/td>\n<td>\u00a0negativo<\/td>\n<td>\u00a0positivo<\/td>\n<td>\u00a0negativo<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_6701\" aria-describedby=\"caption-attachment-6701\" style=\"width: 908px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6701 size-full\" src=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes.jpg\" alt=\"Marcadores serol\u00f3gicos de\u00a0las diferentes fases\u00a0de la infecci\u00f3n por\u00a0virus de la hepatitis\u00a0B\u00a0aguda y cr\u00f3nica\" width=\"908\" height=\"647\" srcset=\"https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes.jpg 908w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes-300x214.jpg 300w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes-768x547.jpg 768w, https:\/\/medicalcriteria.com\/web\/wp-content\/uploads\/2019\/12\/hepatitisBes-421x300.jpg 421w\" sizes=\"auto, (max-width: 908px) 100vw, 908px\" \/><\/a><figcaption id=\"caption-attachment-6701\" class=\"wp-caption-text\">Marcadores serol\u00f3gicos de\u00a0las diferentes fases\u00a0de la infecci\u00f3n por\u00a0virus de la hepatitis\u00a0B\u00a0aguda y cr\u00f3nica<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Lled\u00f3 JL, Fern\u00e1ndez C, Guti\u00e9rrez ML, Oca\u00f1a S. Management of occult hepatitis B virus infection: an update for the clinician. World J Gastroenterol. 2011 Mar 28;17(12):1563-8. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21472122\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kao JH. Diagnosis of hepatitis B virus infection through serological and virological markers. Expert Rev Gastroenterol Hepatol. 2008 Aug;2(4):553-62. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19072403\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Fagan EA, Williams R. Serological responses to HBV infection. Gut. 1986 Jul;27(7):858-67. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/2426162\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Mast EE, Margolis HS, Fiore AE, Brink EW, Goldstein ST, Wang SA, Moyer LA, Bell BP, Alter MJ; Advisory Committee on Immunization Practices (ACIP). A comprehensive immunization strategy to eliminate transmission of hepatitis B virus infection in the United States: recommendations of the Advisory Committee on Immunization Practices (ACIP) part 1: immunization of infants, children, and adolescents.MMWR Recomm Rep. 2005 Dec 23;54(RR-16):1-31. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16371945\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Nov 21, 2011.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Los ant\u00edgenos\u00a0y\u00a0anticuerpos asociados con\u00a0infecci\u00f3n por el virus de hepatitis B (VHB)\u00a0incluyen\u00a0al ant\u00edgeno de superficie\u00a0HBsAg (ant\u00edgeno\u00a0Australiano)\u00a0y el anticuerpo\u00a0contra el HBsAg\u00a0(anti-HBs), ant\u00edgeno nuclear \u201ccore\u201d de hepatitis\u00a0B\u00a0(HBcAg)\u00a0y anticuerpos contra HBcAg\u00a0(anti-HBc),\u00a0y\u00a0el ant\u00edgeno e\u00a0de la hepatitis\u00a0B\u00a0(HBeAg) y\u00a0anticuerpos contra\u00a0HBeAg\u00a0(anti-HBe).\u00a0Por lo menos un\u00a0marcador serol\u00f3gico\u00a0est\u00e1 presente\u00a0durante las diferentes fases\u00a0de la infecci\u00f3n por\u00a0el VHB.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[53],"tags":[1151,123,13,1150,1144,266,267,677,1143,1149,269,716],"class_list":["post-2408","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-b","tag-diagnosis","tag-diagnostico","tag-hbv","tag-hepatitis","tag-infeccion","tag-infection","tag-pruebas","tag-serologic","tag-serologica","tag-testing","tag-virus"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2408"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2408\/revisions"}],"predecessor-version":[{"id":8780,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2408\/revisions\/8780"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}