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Hi There Is A Hepatitis B Test At 66 Days

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Posted on Tue, 8 Oct 2019
Question: Hi There


is a Hepatitis B Test at 66 days conclusive?, I tested negative, exposure was deep kissing but i remember i had a cut on my lip, so i am concerned
I seem to be having mixed answers with this,
CDC stating by 4 weeks the average would show positive but ranges from 1-9 weeks)

Other sources are stating by 30-60 days its detectable, some doctors are advising by 12 weeks and some saying by 6 months, I do not seem to have a definite answer on this

Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (54 minutes later)
Brief Answer:
Conclusive

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

Can you upload the results so that I am better able to help?

If serologic testing of Hepatitis B is showing as negative at 66 days (plus history of brief exposure), I will take it as clear of any Hepatitis B infection and do not worry anymore.

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (49 minutes later)
Hi Doctor

Yes, the Antigen test showed "not detected"
I havent been vaccinated either which I should

The reason for my concern was joint pain, I started experiencing joint pain in fingers and toes, knees, elbows and had rashes appear

These were the only symptoms i had, i did a inflammation blood test, UREA level was 7.8 which was slightly elevated, ESR, C reactive protein and Uric acid were normal levels

My kidney/liver function tests were normal too, thyroid was normal

Is it possible slightly elevated urea can cause joint pain?

Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (2 hours later)
Brief Answer:
This seems like a viral rash

Detailed Answer:
Hi again

This could be a viral rash of some mild type or maybe lupus (if its been there for long time). No, slightly raised urea will not cause joint pain and rash. But in some cases, lupus can cause affect kidney, joints and cause a rash.

If we look at overall picture, there doesnot seem to be something serious. If we avoid repeated "exposures", this episode should pass away.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (2 hours later)
Hi Doctor

I have an update, I just now got my results for Hep B test at 84 days (12 weeks) still negative for antigen, now i feel relieved and not worried anymore

I also did a test for ANA inflammation and the picture are my results, i think its positive its 160, please take a look and let me know what you think, could this be causing my joint pain?

Regards XXXXXXX
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Follow up: Dr. Vaishalee Punj (5 minutes later)
Sorry its not letting me post the photo

But it states the following on my test result


Anti-Nuclear Antibody Titre: 160 (<160)
Pattern: Speckled

doctor
Answered by Dr. Vaishalee Punj (25 minutes later)
Brief Answer:
It is borderline positive

Detailed Answer:
Hi again

The ANA test is borderline positive with speckled pattern. Speckled pattern is seen in Systemic lupus erythematosus, Sjögren's syndrome, Polymyositis/dermatomyositis, Systemic sclerosis/scleroderma.

The problem is that this test maybe positive in 40% of normal people.

A rheumatologic condition maybe causing your symptoms. So it needs further testing to find the exact cause.

SLE needs ANA, anti-dsDNA, anti-Sm antibodies testing
Sjogrens syndrome is unlikey with your symptoms.
myositis needs blood CK levels, AST, ALT. XXXXXXX scleroderma needs rheumatoid factor, anticentromere antibodies, anti-scl-70 antibodies tests.

Since your symptoms are mild, you may get these tests whenever you are comfortable.
Steroids are usually used to suppress the flare-ups of symptoms.
You may drink cleaner water.

Dr Vaishalee
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Vaishalee Punj (13 hours later)
Hi Doctor

thanks for the reply, the other symptom I have been having is spider vein appearing on my fingers, they are purple vein lookalike lines with the joint pain as well, is there a way to determine which autoimmune disease could cause this?

AST, ALT Levels were all normal, GFR was 87, normally its always been over 90 I noticed it was 87

So from my investigation, I am wondering what autoimmune disease could maybe impact kidney, cause spider vein (purple lookalike) and Joint Pain

Regards XXXXXXX
doctor
Answered by Dr. Vaishalee Punj (9 hours later)
Brief Answer:
Could be lupus erythematosis

Detailed Answer:
Hi again

It could be lupus eryhtematosis. But it is too early to comment on lupus, based on just one test and different spectrum of symptoms that can be caused by different set of disorders like rheumatoid arthritis, infectious arthritis etc.

Dr Vaishalee
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Vaishalee Punj

General & Family Physician

Practicing since :2003

Answered : 3278 Questions

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Hi There Is A Hepatitis B Test At 66 Days

Brief Answer: Conclusive Detailed Answer: Hello and welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Can you upload the results so that I am better able to help? If serologic testing of Hepatitis B is showing as negative at 66 days (plus history of brief exposure), I will take it as clear of any Hepatitis B infection and do not worry anymore. Hope this helps. Let me know if I can assist you further. Dr Vaishalee