Jan 18, 2004
How serious is a "fatty liver" with HIV infection? My doc did an ultrasound after seeing slightly elevated alt.(37) and alk. (140). He wasn't too concerned about the fatty liver, saying it could be hereditary or possibly the meds (Sustiva, Viread, Epivir) I'm on. My VL is undetectable and CD4 over 600, averages 45.
Response from Dr. Holodniy
It is probably not related to the HIV regimen you are currently taking. It is more associated with protease inhibitors. The diagnosis is best made by liver biopsy, but is inferred from imaging studies like ultrasound or CT scans based on the density or shadowing of liver tissue. Excess fat deposition can affect liver function. It is clearly made worse by hepatitis c virus infection, alcohol consumption and certain meds.
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