the Impact of Mild Aortic Curvature and Hepatitis B - Family Medicine

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Hepatitis B and mild aortic curvature?


Hello Dr.
Chen, regarding the case examination results at work, there are two abnormalities, and I am unsure of their implications or the risk of transmitting to others.
The abnormal findings are as follows: (1) Chest X-ray result: slight curvature of the aorta.
(2) Hepatitis B core antibody: positive.
I kindly request your expert opinion.

Ms. Li, 30~39 year old female. Ask Date: 2020/02/26

Dr. Chen Bozhang reply Family Medicine


It is recommended that you schedule an appointment with a Family Medicine specialist for evaluation and treatment by a qualified physician, who will then provide relevant medical services based on your needs.

Reply Date: 2020/02/26

More Info


Hello, and thank you for your inquiry regarding the implications of mild aortic curvature and positive Hepatitis B core antibody (Anti-HBc).
To begin with, let's address the first finding: the mild curvature of the aorta. A mild aortic curvature, often referred to as a "mild aortic arch anomaly," is generally not a cause for concern unless it is associated with significant cardiovascular symptoms or other structural abnormalities. In most cases, a mild curvature does not pose a direct health risk or lead to complications. However, it is essential to monitor this condition, especially if there are other cardiovascular risk factors present, such as hypertension, high cholesterol, or a family history of heart disease. Regular check-ups with a healthcare provider can help ensure that any changes in the condition are detected early.

Now, regarding the second finding: a positive Hepatitis B core antibody (Anti-HBc). This result indicates that the individual has been exposed to the Hepatitis B virus (HBV) at some point in their life. It is important to note that a positive Anti-HBc does not necessarily mean that the person is currently infectious or has active Hepatitis B. It simply indicates past exposure. To determine the current status of the infection, additional tests are necessary, including Hepatitis B surface antigen (HBsAg) and Hepatitis B e antigen (HBeAg) tests, as well as liver function tests.

In terms of transmission risk, Hepatitis B is primarily spread through blood and bodily fluids. It is not transmitted through casual contact, such as sharing meals or being in close proximity to someone. Therefore, the risk of transmitting Hepatitis B to family members through normal daily activities, including dining together, is very low. However, it is crucial to practice safe behaviors, especially if there are open wounds or if the infected individual engages in activities that could expose others to blood.

If you are concerned about the implications of these findings, it is advisable to consult with a healthcare provider who specializes in infectious diseases or hepatology. They can provide a comprehensive evaluation, including the need for further testing and monitoring of liver function, especially if there are any symptoms of liver disease, such as jaundice, fatigue, or abdominal pain.

In summary, while a mild aortic curvature is typically not a significant health concern, the positive Hepatitis B core antibody indicates past exposure to the virus, necessitating further evaluation to assess the current status of the infection. Regular follow-ups with a healthcare provider are essential for managing both conditions effectively. If you have any further questions or concerns, please do not hesitate to reach out for more information.

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