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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
           
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Hepatitis Screen result
Feb 18, 2008

I had serum hepatitis 35 yrs ago, but havent engaged in any risk behavior since that time. My AST and ALT levels seem to be very slightly elevated one year, and down the next. My recent physical showd an AST of 56 and an ALT of 94. Based on that, my doctor ordered a Hep screen, the results of which are: HEP B SUR AG: NEGATIVE HEP B CORE AB: POSITIVE HEP BE AG: NEGATIVE HEP BE AB: NEGATIVE HEPATITIS A TOTAL: POSITIVE HEP C AB: POSITIVE

I havnt felt sick since I can remember, and Im very puzzled by these results. Based on the results, he ordered a Hep load test, involving a freezing of the sample, or some such.. Any interpretation of the above results would be appreciated.

Response from Dr. McGovern

If you think you have no risks of hepatitis B or C, then I would recommend the following: 1. Your hepatitis A shows signs of previous exposure. HAV is transmitted from contaminated food or water, but does not cause chronic disease. 2. Your HBV core is positive. I would recommend a HBV surface antibody to better understand this result. 3. Your HCV antibody is positive. If there is no virus, you may want to check a RIBA test to see if this is a false positive antibody test.



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