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How do people approach non-HIV patients with hepatitis B, a negative Hepatitis B E antigen, normal LFTs and relatively low HBV DNA between 2000-20000?

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How do you approach non-HIV patients with hepatitis B, a negative HBeAg, normal LFTs, and low HBV DNA?

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2 Answers
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Infectious Disease · Zucker School of Medicine at Hofstra / Northwell
Answered on

Treatment of chronic Hep B is recommended to prevent maternal-fetal transmission, reactivation during chemotherapy, recurrence after liver transplantation, and in patients with decompensated cirrhosis. Treatment has been shown to reverse fibrosis and cirrhosis. Specifically referring to the above sc...

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Mednet Member
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Infectious Disease · Medicine Specialty Center West
Answered on

Agree, if HBV DNA viremia is very low and there is no cirrhosis and liver functioning well with normal LFTs, then just monitor every 6 months and get an abdominal ultrasound every 6 months also.

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