Hepatic Disease in Patients With HIV

  • Author: Mark S. Sulkowski, MD (More Info)
  • Editors in Chief: Joseph J. Eron, Jr., MD; Daniel R. Kuritzkes, MD
  • Last Reviewed: 11/13/21 (What's New)

Summary

    Timing of Hepatitis C Virus Treatment Initiation
    •  Multiple international guidelines agree that HCV treatment should be considered in persons with HIV and HCV coinfection
    • Immediate treatment should be prioritized in persons with HIV and HCV coinfection due to increased risk of hepatic complications (Management Guidelines)[AASLD-IDSA HCV]
      • In patients with CD4+ cell count < 200 cells/mm3, it may be preferable to improve CD4+ cell count by initiating ART before HCV treatment
    Treatment Options
      Treatment of Persons Coinfected With HIV and Genotype 1 HCV
        Treatment of Persons Coinfected With HIV and Non–Genotype 1 HCV

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