Test Your Knowledge of Hepatitis C Virus: A Simple Treatment Regimen
Daniel S. Fierer, MD
Associate Professor of Medicine, Infectious Diseases, Icahn School of Medicine at Mount Sinai
Infectious Diseases Specialist, The Mount Sinai Hospital
New York, New York
Fierer DS. Test your knowledge of hepatitis C virus: a simple treatment regimen. Consultant360. Published online July 20, 2021.
A 28-year-old woman presented to your primary care office for a new-patient visit. She reported that she had never been screened for hepatitis C virus (HCV), although she did not describe any risk exposures for infection.
Since this is the patient’s first time in your office, you conducted general laboratory testing that included a complete blood cell count panel, comprehensive metabolic panel, and lipid panel, as well as conducted screening for HCV using an antibody test with reflex to viral RNA (viral load).
Results of the HCV antibody test were positive, and viral RNA was detected. You decide that you want to treat her in your practice instead of referring her to a specialist, so you review the American Association for the Study of Liver Diseases (AASLD) and Infectious Diseases Society of America (IDSA) guidelines for treatment recommendations You find that your patient may be eligible for simplified treatment, requiring very little additional screening.
Answer and discussion on next page.