Table 1.

Viral status before and after initiation of rituximab therapy


Serologic parameters

12/29/2000, before chemotherapy

09/10/2002, 3 mo after initiation of rituximab

09/25/2002, 2 wk after initiation of lamivudine
HbsAg*  Negative   Positive   Positive  
HBV DNA, copies/mL   50 ± 20  8.6 × 108  2.4 × 105 
Anti-HBs, IU/mL   > 1000   868   > 1000  
Anti-HBc   Positive   Positive   Positive  
Anti-HBc-IgM
 
NA
 
Negative
 
Negative
 

Serologic parameters

12/29/2000, before chemotherapy

09/10/2002, 3 mo after initiation of rituximab

09/25/2002, 2 wk after initiation of lamivudine
HbsAg*  Negative   Positive   Positive  
HBV DNA, copies/mL   50 ± 20  8.6 × 108  2.4 × 105 
Anti-HBs, IU/mL   > 1000   868   > 1000  
Anti-HBc   Positive   Positive   Positive  
Anti-HBc-IgM
 
NA
 
Negative
 
Negative
 

HBsAg indicates hepatitis B surface antigen; HBV DNA, hepatitis B virus DNA; anti-HBs, antibodies against hepatitis B surface antigen; anti-HBc, antibodies against hepatitis B core antigen; IgM, immunoglobulin M; and NA, not available.

*

AxSym assay (Abbott Laboratories, Abbott Park, IL), 3 of 8 different commercially available test kits failed to detect the mutated HbsAg.

Real-time PCR performed in 2002.

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