Korean J Med > Volume 87(6); 2014 > Article
The Korean Journal of Medicine 2014;87(6):747-749.
Published online December 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.6.747   
Spontaneous Clearance of Hepatitis B Surface Antigenemia in a Hemodialysis Patient
Ji Min Jeon1, Jong Kun Ha2
1Department of Nephrology, Dongrae BongSeng Hospital, Busan, Korea
2Department of Gastroenterology, Dongrae BongSeng Hospital, Busan, Korea
혈액투석 환자에서 HbsAg의 자연소실
전지민1, 하종건2
1동래봉생병원 신장내과
2동래봉생병원 소화기내과
Correspondence: 
Ji Min Jeon, Tel: +82-51-520-5622, Fax: +82-51-520-5639, Email: 59356815@hanmail.net
Received: 17 February 2014   • Revised: 16 April 2014   • Accepted: 16 April 2014
Abstract
The incidence of hepatitis B has been reported to be high in dialysis centers. Dialysis patients are at increased risk of acquiring hepatitis B due to their immunodeficient state, which impairs elimination of the hepatitis B virus; chronic dialysis patients rarely clear hepatitis B surface antigen (HBsAg) spontaneously. Hepatitis B virus infection is associated with a high risk of hepatic complications. We report the case of a 66-year-old HBsAg-positive female patient who had undergone hemodialysis for 58 months due to end-stage renal failure and became HBsAg-negative followed by the development of hepatitis B surface antibody.
Key Words: Hemodialysis; Hepatitis B; Hepatitis B surface antigen


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