Potential Applications of Serum HBsAg Level Measurement in Patients with Hepatitis B and D CoInfection

Telemedicine Consult - Dr. Gish

Schedule Telemedicine Consult with Dr. Gish

For appointments

Call the office

Folsom, California Office: 916-983-4444

Call Now

Close

WHO:

Dr. Gish is a Hepatologist specializing in all forms of liver disease, liver cancer and liver transplant. Dr. Gish has partnered with TeleMed2U to provide telemedicine consultative services for patients with liver disease.

WHAT:

TeleMed2U is a telemedicine-based multi-specialty clinical practice increasing access to specialist providers providing, “healthcare anywhere and everywhere.” The telemedicine consultation will be conducted through our HIPAA and HITECH compliant platform. Connectivity testing will be done in advance to ensure you can connect via our telemedicine platform. Following the consultation, a clinical note will be provided including a summary of your liver consultation with Dr. Gish and his consultative recommendations.

COST:

Payment will be processed through an online secure transaction portal. The fees for consultative services are:

Initial 60 minute consultation per patient: $500.00
Follow Up 30 minute consultation per patient: $300.00

NEXT STEPS:

If you’d like to continue, please click Next to complete the form and we will contact you to schedule connectivity testing. During the test you will have the opportunity to determine the method of providing medical records, discuss appointment availability as well as discuss any additional questions that you have. If you are a healthcare facility interested in services, please complete the form and we can discuss the options that are right for you and your patients.

Email

Subject

Country

You should be aware of the general risks of transmitting information over the Internet, which may not use encryption. You should therefore not share any personal medical information that you would wish to be held confidential in a physician/patient or similar clinical relationship.

The information contained on this website is not intended, should not substitute for, or be used instead of, a clinical or therapeutic relationship with a health care professional who is fully familiar with the specifics of your case. The information on this site may assist you in your personal, general research but none of it constitutes the practice of medicine or any other health care profession.

Nothing in this site is intended as a recommendation or endorsement of any specific tests, products, procedures, healthcare provider, opinions, or other information that may be mentioned in this site. Any reliance on any information provided by the website personnel, others appearing on the site at the invitation of the website and/or other visitors to the site is solely at the user's risk.

E-mail correspondence with Dr. Robert G. Gish Consultants, LLC or any of its employees, or agents, does not create a physician/patient relationship between us or cause Dr. Gish to create or retain any medical records about you, monitor your care, or communicate with your own health care provider.

Always seek the advice of your physician or other qualified health care provider with any questions you have regarding your medical care. If you suspect that you may have a medical condition, or are seeking medical advice or treatment, we recommend that you consult a qualified health professional as soon as possible.

Powered by

Close Form

Potential Applications of Serum HBsAg Level Measurement in Patients with Hepatitis B and D CoInfection

Feb 27, 2017

ABSTRACT

This study aimed to investigate the serum HBsAg level in patients with HDV co-infection, its relationship with HBV DNA and HDV RNA levels and with the fibrosis stage. 19 patients were considered. Patients with hepatitis C or HIV co-infection were excluded. HBV DNA and HDV RNA quantization was done using COBAS Taq Man HBV test (Roche Diagnostics) and AmpliSensHDV test (Inter Lab Service), respectively. The HBsAg level was measured by the Architect HBsAgQT (Abbott Laboratories) assay. Statistical relationships were estimated by the Pearson correlation coefficient r.

In patients with HDV co-infection no correlation between HBsAg level and HBV viral load was detected. The correlation between HBsAg and HDV RNA levels (r=0.663, p=0.002) as well as between HDV RNA level and fibrosis stage (r=0.50, p<0.05) was significant.

The correlation between HBsAg level and the fibrosis stage was less significant (r=0.42, p=0.07).

We conclude that in patients with HDV co-infection:

i. HBsAg level did not correlate with HBV DNA level.

ii. A high HBsAg level is usually associated with a high HDV RNA level, so it can be used for estimating HDV viral load.

iii. A severe fibrosis is usually associated with a high HDV RNA level and, to a lesser degree, with a high HBsAg level.

Gastroenterol Hepatol Open Access 2016, 5(7): 00170

» View/Download Article

Metadata