Hepatitis C
All false
Most of those with antibody to HCV are also HCV RNA positive by PCR and therefore have chronic infection.
The ALT level is not closely associated with the severity of liver disease so most HCV-RNA positive patients are offered liver biopsy.
10-20% of cases develop chronic active hepatitis or cirrhosis. 3% develop hepatocellular carcinoma.
HCV transmission: most cases are due to intravenous drug abuse / needle-sharing. Sexual transmission accounts for about 5% of cases as does vertical transmission. In the U.K. all donated blood has been screened since 1991.
40-80% of patients have an initial response to alpha-interferon. Half of these have a sustained response. Genotype 1 responds less well than types 2 and 3 to interferon therapy. Ribavirin may have some useful action in the treatment of HCV.
