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Hi Doctor I Am Not Sure If You Remember Our

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Posted on Thu, 10 Oct 2019
Question: Hi Doctor

I am not sure if you remember our conversation was about 6 weeks ago, I had an exposure with a woman involving deep kissing, i did have a cut on my mouth but no blood, I was advised by you not to worry and for a peace of mind to do another test at 12 weeks, I did a Test for all STDS (chlamydia, Gonorrhea,syphilis), they came back negative, I also did a test for the following:

Hepatitis B Antigen- 4 weeks, 6 weeks, 9.5 weeks and 12 weeks - NOT DETECTED
Hepatitis C Antibodies- 4 weeks, 6 weeks, 9.5 weeks and 12 weeks - NOT DETECTED
HIV Test - 12 weeks - NEGATIVE

I have a question, is 84 days conclusive for Hepatitis B, some sources say 6 months, , However my doctor and the CDC website stated 3 months is more than enough time for the antigen to have shown up by now

from my understanding according to wikipedia the reason why some people say 6 months is because they are referring to the period that elapses during HBsAg to HBsAb seroconversion, i.e. between the disappearance of surface antigen (HBsAg) from serum and the appearance of HBsAb (anti-HBs), if am correct?

Regards XXXXXXX
doctor
Answered by Dr. Shinas Hussain (1 hour later)
Brief Answer:
Nothing much to worry and you don't seem to be infected.

Detailed Answer:
Hello,
Thanks for the query.

You are referring to something called window period.

The window period refers to the time after infection and before seroconversion, during which markers of infection are still absent.

For HepB, the window period will be four to eight weeks and the HBsAg antibodies will be detected after possible exposure.

In your case, it is almost three months and thus nothing to worry and you are not infected with hep B.

If you are worried much you can go for expensive tests like HBV DNA which can detect a very trace amount of viral particles.

You can opt for the hep B vaccine to prevent future exposure.

Let me know if I can assist you further.
Wishing all the best



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Shinas Hussain (21 minutes later)
Hi Doctor

Thanks for the reply, the reason I asked this is because 2-3 weeks after the exposure, i developed joint pain in fingers, toes, elbows, knees, everywhere

I developed purplelike blood vessel vein appearing on my fingers, a small purple line rash which stayed for week on my stomach and phlegm with very tiny squiggly blood

I did a full blood test, for liver and kidney, everything was in normal range Inflammation test for C-reactive protein, ESR and UREA and URIC acid, they were all fine

but the test for ANA was 1:160 (speckled pattern) does this mean i could have an autoimmune disease? I am not sure what is actually causing this joint pain, it all started after exposure with the woman, i was fine before this, what do you think it could be, its been 12 weeks now with joint pain

Regards XXXXXXX
doctor
Answered by Dr. Shinas Hussain (28 hours later)
Brief Answer:
You can go for an ANA profile.

Detailed Answer:
Hello,
It can be an arthritis. Autoimmune conditions are also a probability.
Consult a rheumatologist and get evaluated. You can go for ANA panel to rule out autoimmune conditions.
Wishing all the best
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Shinas Hussain

General Surgeon

Practicing since :2015

Answered : 23658 Questions

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Hi Doctor I Am Not Sure If You Remember Our

Brief Answer: Nothing much to worry and you don't seem to be infected. Detailed Answer: Hello, Thanks for the query. You are referring to something called window period. The window period refers to the time after infection and before seroconversion, during which markers of infection are still absent. For HepB, the window period will be four to eight weeks and the HBsAg antibodies will be detected after possible exposure. In your case, it is almost three months and thus nothing to worry and you are not infected with hep B. If you are worried much you can go for expensive tests like HBV DNA which can detect a very trace amount of viral particles. You can opt for the hep B vaccine to prevent future exposure. Let me know if I can assist you further. Wishing all the best