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dc.contributor.authorAhmad Najib, Azmi,-
dc.contributor.authorSoek-Siam, Tan,-
dc.contributor.authorRosmawati, Mohamed,-
dc.description.abstractThe natural history of chronic hepatitis B is characterized by different phases of infection, and patients may evolve from one phase to another or may revert to a previous phase. The hepatitis B e antigen (HBeAg)negative form is the predominant infection worldwide, which consists of individuals with a range of viral replication and liver disease severity. Although alanine transaminase (ALT) remains the most accessible test available to clinicians for monitoring the liver disease status, further evaluations are required for some patients to assess if treatment is warranted. Guidance from practice guidelines together with thorough investigations and classifications of patients ensure recognition of who needs which level of care. This article aims to assist physicians in the assessment of HBeAg-negative individuals using liver biopsy or non-invasive tools such as hepatitis B s antigen quantification and transient elastography in addition to ALT and hepatitis B virus DNA, to identify who will remain stable, who will reactivate or at risk of disease progression hence will benefit from timely initiation of anti-viral therapy. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.en_US
dc.publisherBaishideng Publishing Group Incen_US
dc.subjectChronic hepatitis Ben_US
dc.subjectHepatitis B e antigen-negativeen_US
dc.subjectTreatment candidatesen_US
dc.subjectHepatitis B s antigen levelen_US
dc.subjectNucleos(t)ides analoguesen_US
dc.subjectPegylated interferonen_US
dc.titlePractical approach in hepatitis B e antigen-negative individuals to identify treatment candidatesen_US
Appears in Collections:World Journal Of Gastroenterology

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