1 / 2

Management of Chronic HBV Infection in 62-Year-Old Man with Liver Biopsy Findings

This case involves a 62-year-old man with chronic Hepatitis B infection (HBsAg+), elevated ALT and AST levels, and a liver biopsy showing F2 fibrosis scarring. He has initiated Lamivudine (LAM) treatment, with HBV DNA measured at 1.63 x 10^5 IU/mL, and is referred for follow-up in 2012. Key laboratory results include bilirubin at 15, platelet count at 101, and INR at 1.2. The ultrasound shows coarse liver and splenomegaly. Considering these factors, the treatment options, further diagnostic testing, and management strategies should be discussed.

simeon
Télécharger la présentation

Management of Chronic HBV Infection in 62-Year-Old Man with Liver Biopsy Findings

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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?

More Related