Question
In the liver function test, the alanine aminotransferase index exceeds the normal range, and both the hepatitis B virus surface antigen (HBsAg) and hepatitis B virus e antigen (HBeAg) are positive, while the hepatitis B virus surface antibody (HBsAb) and hepatitis B virus core antibody (HBcAb) are negative. In addition, the test result for hepatitis B virus pre-S1 antigen is negative. What do these test results mean? Also, the test results for hepatitis A and E are negative, and the ultrasound examination shows signs of fatty liver.
Answer
Based on your test report, it indicates that you have previously been infected with the hepatitis B virus, have recovered, and your body has produced antibodies against the hepatitis B virus, meaning you have immunity against it. The current indicators of the hepatitis B virus show that the virus is in a stable state with no active infection. As for the elevated alanine aminotransferase levels, they may be related to fatty liver. The causes of fatty liver are often related to obesity caused by high-fat, high-sugar diets. In addition, it may be associated with other metabolic diseases such as diabetes, hypothyroidism or hyperthyroidism, galactosemia, glycogen storage diseases, as well as chronic hepatitis and alcoholism. Fatty liver can develop into liver cirrhosis if not addressed before it reaches that stage.