My husband is 44 years and recently, quite by accident, he was diagnosed with hepatitis C. 5 years ago, he injured his leg in the Regional Hospital to transplant skin and last year treated teeth with protezirovniem. Probably one of these cases the infection occurred. Conducted the necessary examinations the following results: alkaline phosphatase - 236.0 U / L rate from 0 to 258.0; ALT - 55.2 U / L rate from 0 to 41.0, AST - 54 U / L rate of 0 to 37.0, total bilirubin 13.8 umol / L, the rate from 0 to 20.0; Gamma - GT 181 U / L, at a rate of 0 to 49.0. Genotyping of HCV (1B), RNA (+++). Tell me please, on these results we can say about the form of the disease? How do I know chronic, acute, or even what - what shape? And what analysis indicates cirrhosis? Another problem is that in our city there is no doctor - hepatologist.

Respond Tatyana Stepanova, a gastroenterologist, hepatologist disease is just more likely, a chronic form, as for the acute form characterized by a significant increase in ALT and AST. The results of these tests can not detect the presence of liver cirrhosis. The initial stage of cirrhosis can only be seen by needle biopsy of the liver. Husband must decide whether to antiviral treatment drugs interferon and ribavirin. Similar question: ... AST - 15, Amylase - 50, total bilirubin - 37.2, direct bilirubin - 12.9, Gamma-GT - 21, total protein - 74 Alkaline Phosphatase - 46, anti-HAV ...