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0 stage fibrosis/what next? sit and wait?
Apr 22, 2001

i recently recv'd results from liver bioposy inflamation stage 3 out of 4 ; 0 signs of fibrosis. the doctor suggested no treatment except checking enzymes every 3/4 months. i've stopped alochol except occasional wine. should i be doing more with regard to slowing the progression of hepc? oh and yes by the way i am also hiv + and receiving chemo(doxil) for KS. alot going on but would like to try to do more? your thoughts. thanks

Response from Dr. Dieterich

Good question! Most experts would not treat if there was no fibrosis. However, there has been one paper published recently that suggested that HIV may progress more rapidly in the patients with HCV as opposed to those who are HCV negative. In addition, interferon also has some activity against KS in high doses anyway. Although, something else to consider is that doxil may exacerbate the lowered white counts caused by interferon. Not an easy decision! Good luck with it! DTD

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