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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
          
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HEP - B
Aug 18, 2014

MY SON WAS TESTED POSITIVE FOR HBsAG DURING A ROUTINE MEDICAL CHECK DURING 2009 AND AS PER DR. ADVICE WE TESTED VIRAL DNA BY REAL TIME PCR WHERE THE RESULTS CAME OUT AS NEGATIVE AND HBA VIRAL DNA NOT DETECTED BY REAL TIME PCR. IN 2010 VIRAL DNA BY REAL TIME PCR SHOWED POSITIVE AND CALCULATED CONC.(IU/ML) AS 4250. IN 2011 VIRAL DNA BY REAL TIME PCR SHOWED NEGATIVE AND VIRAL DNA NOT DETECTED BY REAL TIME PCR. IN 2012 VIRAL DNA TEST BY COBAS TAQMAN SHOWED A RESULT OF HBV-DNA QUANTIFICATION AS 241 iU/ML). IN 2013 VIRAL DNA TEST BY COBAS TAQMAN SHOWED A RESULT OF HBV-DNA QUANTIFICATION AS 4202 (iU/ml. RIGHT FROM 2009 MY SON IS NOT TAKING ANY TREATMENT AND RESULTS ARE GOING UP AND DOWN. SUGGEST WHETHER HE NEEDS ANY TREATMENT.

Response from Dr. Taylor

As you can see from these results, hep B can and typically does change over time in a person with chronic hep B. This is one of the reasons why it is important to see a doctor over time to have hep B re-evaluated.

Treatment decisions are based on a number of factors, including level of HBV DNA (viral load), ALT level, presence of HIV (be sure to be tested), eAg-positivity, degree of liver scarring, and of course access to medications. Talk with your doctor about these factors for your son.



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