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CASE 2

CASE 2 . 32 yo woman born in China HBsAg + HBeAg + anti-HCV- anti-HIV- ALT 19 AST 18 Bili 9 Plts 266 Albumin 41 INR 1.0. CASE 2 . Fibrotest / Fibroscan minimal scarring HBV DNA 2.66 x 10 9 IU/ mL What stage of CHB is she in? Would you treat?. CASE 2 .

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CASE 2

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  1. CASE 2 • 32 yo woman born in China • HBsAg+ HBeAg + anti-HCV- anti-HIV- • ALT 19 AST 18 Bili 9 Plts 266 Albumin 41 INR 1.0

  2. CASE 2 • Fibrotest/Fibroscan minimal scarring • HBV DNA 2.66 x 109 IU/mL What stage of CHB is she in? Would you treat?

  3. CASE 2 • She returns 1 year later now 3 months pregnant • ALT 19 AST 18 Bili 10 Plts 288 Albumin 44 INR 1.0 HBeAg+ • HBV DNA 1.33 x 109 IU/mL Would you treat? Why? When? What would you use?

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