Table 1:
Serologic Patterns for Hepatitis B
Clinical Status
  Typical Serologic Markers
Immunity
Natural exposure
HBs Ag negative

anti-HBc + (or negative if distant in time)

anti-HBs +
Vaccination
anti-HBs +

(anti-Hbc, HBsaAg negative)
Acute Infection
  

HBs Ag +

HBV DNA + (usually)

IgM anti-HBc +

(anti-HBs negative; HBeAg may be positive or negative, depending on timing)

Chronic Infection
  

HBs Ag +

IgG anti-HBc +

anti-HBs negative

HBV DNA + (usually)

Key: HBsAg = hepatitis B surface antigen; anti-HBs = hepatitis B surface antibody; anti-HBc=hepatitis B core antibody.
Copyright 2005 The Cleveland Clinic Foundation

Return to Hepatitis B Chapter