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Year : 2012  |  Volume : 9  |  Issue : 1  |  Page : 94-96
HBV: Your help needed please....


420, Woodlands Avenue, Walsall, United Kingdom

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Date of Web Publication2-Nov-2016
 

How to cite this article:
Ali L. HBV: Your help needed please.... Hep B Annual 2012;9:94-6

How to cite this URL:
Ali L. HBV: Your help needed please.... Hep B Annual [serial online] 2012 [cited 2018 Dec 10];9:94-6. Available from: http://www.hepatitisbannual.org/text.asp?2012/9/1/94/193291


Dear Sir,

My name is Mr Liaquat; I am a British citizen living in Birmingham, UK. I am 25 years old and my DOB is 10th December 1983. I am writing to you regarding some advice I would like on my current situation. I was engaged to my first cousin 8 years back who lives in Pakistan. Nusrat Bano DOB 25th January 1986; Nationality: Pakistani.

I went Pakistan in November 2008 to marry her and also to apply for her Visa so she could come to this country and start living with me ASAP. Two months after the wedding, my wife tells me that she has hepatitis B virus infection and she has had this for 8 years. I was very shocked to hear this and was concerned for myself. Luckily there was no sexual intercourse after the marriage as I had to leave for England a couple of days after my wedding. I had myself tested and my results were negative for all: Hepatitis A, B and C. I was then told to get vaccinated against hepatitis B which will take a total of 3 – 6 months for me to get fully covered.

After being told by my wife about this concerning matter I decided to go Pakistan in February 2009 to take her to a few good hospital to get her tested and see at what stage this hepatitis was as I had been reading that its very contagious and also that there are two types 'acute' and 'chronic' and if its acute it can be treated and possibly cleared.

The advice I am seeking is for a specialist in this field to explain to me what the enclosed test results mean. When I was in Pakistan to get her tested I was told it will take a few weeks before I can get the results. However I had to return back to England as I run my own business and was not able to leave it for so long. The hospital in Pakistan has posted/faxed me a copy of these results but the consultants did not explain to me what they mean. I am therefore requesting you to please help me interpret these results and advice me as to what else I should possibly test her for, or whether I should call her to this country and get some treatment for her here.

Despite being deceived by my wife and many other people I would still like to her help her recover from this problem and continue with my marriage.

My contact details are listed below, and the test results are as follows:

  • HBsAg - REACTIVE (cut off rate 2.000 - patient rate 269.290)
  • Anti HBsAg - NON REACTIVE (0.000 Miu/ml)
  • Pathologist comments: Any value >=10.0 mIU/ml is considered reactive. The test is performed on Axsym system and interpreted as recommended
  • HB Core Antiboy - REACTIVE (cutoff rate 1.000 - patient rate 0.058)
  • Anti HB Core Igm - NON REACTIVE (cutoff rate 0.800 - patient rate 0.190)
  • Anti HBeAg - REACTIVE (cutoff rate 1.000 - patient rate 0.388)
  • HBeag - NON REACTIVE (cutoff rate 1.000 - patient rate 0.280)
  • HBV DNA - QUALITATIVE result HBV DNA: Not Detected
  • LFTs and ALTs: All OK
  • Ultra Sound Report: The liver is slightly irregular. There in no focal defect. Pancreas and gladder appear normal. No ascites or para-aortic adenopathy seen.


I look forward to hearing from you and appreciate your time in reading this letter.

Kind regards

Liaquat Ali

420, Woodlands Avenue,
Walsall, UK

This Letter from Birmingham is an attempt to sensitize everyone to the travails of HBV infected patients and their relatives. This is a true letter with names and address changed.

Correspondence:

Prof. Shivaram Prasad Singh,
Department of Gastroenterology, SCB Medical College,
Cuttack - 753 007, Odisha, India.
Email: scb_gastro_dept@hotmail.com

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9747.193291

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