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CASE 6

CASE 6. 62 yo man HBsAg + HBeAg - anti- HBe + anti-HCV- anti-HIV- Liver Biopsy 2002… F2 scarring LAM initiated…adherent as best you can determine Referred to you in 2012 for f/u. CASE 6. ALT 66 AST 90 Bili 15 Plts 101 Albumin 37 INR 1.2 AFP 15

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CASE 6

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  1. CASE 6 • 62 yo man • HBsAg+ HBeAg- anti-HBe+ anti-HCV- anti-HIV- • Liver Biopsy 2002… F2 scarring • LAM initiated…adherent as best you can determine • Referred to you in 2012 for f/u

  2. CASE 6 • ALT 66 AST 90 Bili 15 Plts 101 Albumin 37 INR 1.2 AFP 15 • U/S…coarse liver/splenomegaly (13.6 cm) • OGD...no varices or PHG • HBV DNA 1.63 x 105 IU/mL What would you treat with? Would you do any special testing? How would you follow?

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