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Old 12-22-2012
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Liver Chronic Hepatitis C and Normal LFT

If LFTs are normal, should we go for a biopsy or just follow ups?

Would you treat a patient if liver enzymes are normal but viral load is high?

I'll be really grateful if someone could help me out.
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Old 12-22-2012
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Quote:
Originally Posted by nudrat View Post
If LFTs are normal, should we go for a biopsy or just follow ups?
Just follow up --every 2-3 months check LFts and then yearly.

Quote:
Originally Posted by nudrat View Post
Would you treat a patient if liver enzymes are normal but viral load is high?
If the viral load is persistently high, treat after assessing the damage by doing liver biopsy.
I don't think they will be asking the treatment of chronic Hep C since it's controversial and comes under highly specialized field of Hepatology.

Acute Hepatitis C gets treated since progression to chronic disease id high (70 -80%)
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Old 12-22-2012
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If persistently high viral load but normal LFT follow up, still if high then do a biopsy, If the liver biopsy is normal then just follow up with LFT, because initiating treatment might damage the liver (drugs used increase lft in 20% cases). That's what U World says at least
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Last edited by ts1234; 12-22-2012 at 07:03 PM.
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