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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
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worried about sudden increase in count
Mar 12, 2005

I have had hep c for 30 plus years- last year my load was 7,000,000 and now it is 21,000,000 in less then l year. What would cause that? I was tested for every disease that I could think of and all came back neg (Including hiv1 and 2) I am 55 years old with gen 1a and dr wants me to try interferon. What do you think? (I was tested twice in 2 months and copies are still around 21,000,000 (thats 21 million)

Response from Dr. McGovern

Quite frankly, there is some variability in the test for HCV RNA although a 3 fold difference is significant. I am not focused though on the level of virus because that does not tell me anything about the severity of your liver disease. I am more concerned about how long you may have had your infection.

I would recommend a liver biopsy for staging and then a trial of PEG IFN and ribavirin.

Dr. McGovern

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