|How sick am I ?
Apr 20, 2005
Hello Dr. Dieterich, My test results are from Europe, as follows: HBe antigeni positive, HBe anticorpi( antibody I guess) negative, HBs elisa positive, PCR ADN HBV cantitative 2865 copies/ ML, HCV anticorpi negative, anticorpi anti hep delta negative, anticorpi anti HBc IgM negative and the biopsy result is chronic hep B with discrete signs of activity and without fibrosis. The question is: how sick am I? And should my doctor recommend any treatment? because she didn't. Thank you.
| Response from Dr. Dieterich
Most doctors would not recommend treatment at that level HBV DNA. I however have a much lower threshold for treatment. It depends on your age and life situation and if this is an infection you got at birth etc. I really believe that HBV needs to be treated at any level of infection because it can come back spike up and cause liver damage and cancer. That is not a universally held opinion, however. You may want to get another opinion and then make up your mind. In any case you need to get teste for HBVDNA frequently, like 4 times per year because it may go up and down and that may change your doctor's mind. Good luck! DTD
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