Article
Hepatitis B surface antigen variant with multiple mutations in the a determinant in an agammaglobulinemic patient.
Journal of clinical microbiology - 1 Jun 2004
Alexopoulou Alexandra, Baltayiannis Gerasimos, Jammeh Saffie, Waters Jenny, Dourakis Spyros P, Karayiannis Peter
Abstract excerpt
A patient with agammaglobulinemia developed acute hepatitis that progressed to chronic liver disease with high levels of hepatitis B virus (HBV) DNA in the absence of detectable HBsAg. Sequencing of the a determinant region of HBsAg revealed multiple amino acid substitutions that, unusually, also included a substitution at position 122 that defines subtype specificity. All of these mutations had a profound effect...
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