Table 1.
Phase | ALT | HBsAg | HBeAg | HBeAb | HBV DNA (IU/mL) | Th cell biased | Liver histology |
Immune tolerance | Usually normal | Present | Present | Absent | ≥ 20 000 | Th2 cell | Normal or mild inflammation |
Immune clearance | Elevated | Present | Present | Absent | ≥ 20 000 | Th2/Th1 cell | Active inflammation |
Inactive HBsAg carrier | Usually normal; can have flares | Present | Absent | Present | > 20 000 | Th1 cell | Mild inflammation or inactive cirrhosis |
HBeAg- CHB | Perioid flares | Present | Absent | Present | > 20 000 | Th1 cell | Active inflammation |
< 20 000 | |||||||
Occult hepatitis B | Rarely elevated | Absent | Absent | Present when HBV recovered | < 20 000 | Th1 cell | From normal to cirrhosis HCC |