EASL Campus

A 45-year-old man who injects drugs is diagnosed with chronic hepatitis C. He has elevated ALT levels, high levels of HCV RNA and a liver stiffness measurement by VCTE of 7 kPa.

Which attitude is the right one in this patient?

A. You avoid anti-HCV therapy because he is actively injecting drugs

B. You perform a liver ultrasound to screen for hepatocellular carcinoma

C. You start therapy anyhow with Direct Acting Antivirals regardless of potential drug-drug interactions

D. If you treat, you don’t have to check for Sustained Virological Response (SVR) due to the nearly 100% rates of response

E. You wait to start anti-HCV treatment until he is stable under opioid substitution therapy

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