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Hepatitis E is inflammation of the liver caused by infection with the hepatitis E virus (HEV); [4] [5] it is a type of viral hepatitis. [6] Hepatitis E has mainly a fecal-oral transmission route that is similar to hepatitis A , although the viruses are unrelated.
The standard serology panel for seroconversion include hepatitis B surface antigen, hepatitis B surface antibody for IgM and IgG, hepatitis B core antibody for IgM and IgG, and hepatitis B e-antigen. [61] In the typical disease course for hepatitis B, [62] the individual will first seroconvert for hepatitis B surface antigen (HBsAg).
Therefore, when a patient is positive for IgG antibody but negative for IgM antibody, he is considered immune from the virus via either prior infection and recovery or prior vaccination. [ 33 ] In the case of hepatitis B, blood tests exist for multiple virus antigens (which are different components of the virion particle ) and antibodies. [ 76 ]
Adalimumab is an IgG antibody. The measurement of immunoglobulin G can be a diagnostic tool for certain conditions, such as autoimmune hepatitis, if indicated by certain symptoms. [18] Clinically, measured IgG antibody levels are generally considered to be indicative of an individual's immune status to particular pathogens.
Type 2 autoimmune hepatitis. Positive antibodies include: [21] Liver Kidney Microsomal antibody (LKM-1) Anti-liver cytosol antibody-1 (SLC-1) Autoantibody negative autoimmune hepatitis. [22] Lack positive ANA, ASMA, LKM-1, etc. antibody panels but present with clinical features of autoimmune hepatitis that resolve with standard treatment.
In contrast, pathogenic anti-dsDNA antibodies found in SLE are usually of IgG isotype and show high avidity for dsDNA. [15] One possible mechanism for anti-dsDNA and their role in nephritis is the formation of immune complexes that arise by indirect binding to DNA or nucleosomes that are adhered to the glomerular basement membrane (GBM).
Microsomal antibody Antigen Disease anti-LKM 1: cytochrome P450 2D6: autoimmune hepatitis type II and chronic hepatitis C (10%) anti-LKM 2: cytochrome P450 2C9: drug-induced hepatitis (tienilic acid–induced) anti-LKM 3: cytochrome P450 1A2: chronic active hepatitis in association with autoimmune polyendocrine syndrome type 1; [1] hepatitis D
Liver kidney microsomal type 1 antibody (anti-LKM1) is an autoantibody associated with autoimmune hepatitis (AIH). [1] Specifically, its presence in AIH defines type 2 AIH, [ 2 ] [ 3 ] although it has been proposed that anti-liver cytosol type 1 autoantibody without detectable anti-LKM1 can be seen in type 2 AIH. [ 4 ]