Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
127 Doctors are Online

HIV result showing p24 p51 p55 gp40. Positive for hepatitis C virus. Could hepatitis be cured?

User rating for this question
Very Good
Answered by

Infectious Diseases Specialist
Practicing since : 2002
Answered : 871 Questions
Question
if a hiv results come back p24 p51 p55 gp40 and the test results come back indeterminate does this mean I have hiv pluz im positive for hepatitis c virus already what do you think and can hepatitis be cured or can the virus load be brought down ...?
Posted Sun, 10 Nov 2013 in HIV and AIDS
 
 
Answered by Dr. Roopa Hiremath 38 minutes later
Brief Answer:
Indeterminate HIV result, Hepatitis C treatment

Detailed Answer:
Hi,

Welcome to Health care magic.

Indeterminate HIV results need to be confirmed by a repeat test after two weeks, 1 month and 3 months.

If two consecutive test results come positive then it is considered positive.
If two consecutive test results come negative then it is considered negative.

Hepatitis C treatment:

Interferon alone or Interferon with Ribavirin (antiviral) are used for the treatment of Hepatitis C virus infection.

About 6 mega units of Interferon thrice weekly for 6-12 months is the usual regimen. However longer regimens may be required depending of response to treatment.

The response to treatment needs to be monitored by PCR assays for HCV.

Unfortunately, good response to therapy is seen in about 50% of cases only. Half of these 50% who have responded to the therapy may show relapse once the treatment is withdrawn.

Total clearance has been achieved in about 20% or less cases.

The outcome of the treatment depends on:
a) The patients age (younger age, better prognosis)
b) Duration of infection (Prolonged infection has worst prognosis, may lead to liver cancer)
c) The presence of cirrhosis before the treatment
d) High viral load
e) HCV genotype
The response is better in patients with type 2 and type 3 genotypes and poor with genotype 1.

I suggest you get in touch with your treating doctor and discuss the treatment options best suitable for you.

It would be great if you could upload the reports of test results on the link provided on the webpage to help me confirm the results.

I hope I have cleared your doubts and please do not hesitate to get back if any more clarifications required.

Thanks.
Above answer was peer-reviewed by
 
Follow-up: HIV result showing p24 p51 p55 gp40. Positive for hepatitis C virus. Could hepatitis be cured? 17 minutes later
Well they have not gave me medication yet they took blood from me and want to see how much viral load is in me I am 27 years old whats your opinion pluz they said they are taking the viral load test so they can see what medication to give me to fight it does my age help ....this bothers me day to day pluz my hiv results came undetermined too I cant sleep at times cause all this bothers me pluz I want kids in life
 
 
Answered by Dr. Roopa Hiremath 22 minutes later
Brief Answer:
HCV viral load

Detailed Answer:
Hi,

Welcome back.

I understand your concern and worry.

Definitely age helps to get good response to therapy.

High viral load will require longer duration of therapy.

Your doctors are trying to assess your HCV viral load and then decide on treatment.

Indeterminate HIV results have to be confirmed by repeat testing.

Please ask your doctor to determine the genotype of the HCV infection you have so that prognosis can be decided.

Thanks.

Above answer was peer-reviewed by
 
Follow-up: HIV result showing p24 p51 p55 gp40. Positive for hepatitis C virus. Could hepatitis be cured? 13 minutes later
thank you ...
 
 
Answered by Dr. Roopa Hiremath 2 minutes later
Brief Answer:
You are welcome

Detailed Answer:
You are welcome.

Good luck.

Thanks.
Above answer was peer-reviewed by
 
Follow-up: HIV result showing p24 p51 p55 gp40. Positive for hepatitis C virus. Could hepatitis be cured? 11 minutes later
sorry to bother you my last question if people have a indeterminate hiv test does that mean their positive with p24 p51 p55 gp40 with index level <1.00
 
 
Answered by Dr. Roopa Hiremath 22 minutes later
Brief Answer:
HIV indeterminate result

Detailed Answer:
Hi,
Welcome back.

p24, p55 - core proteins of HIV
p51 - polymerase protein of HIV
gp40 - glycoprotein of HIV envelope

These proteins play an important role in detection of HIV as there are many tests which detect these proteins directly or antibodies against them.

Example: PCR - directly detects p24, p55, viral RNA etc
Western blot test detects antibodies against almost all the proteins.
ELISA detects antibodies mainly against envelope proteins like gp40, gp120 etc.

Each test has a cut off value to say it is positive and this is decided by the manufacturer of the test kit.(brand)

Indeterminate result means confusion regarding the result (positive/negative) and hence has to be confirmed by repeat test.

Thanks.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
,   ,   ,   ,   ,  
Drug/Medication
Lab Tests
Medical Topics

The user accepted the expert's answer

Ask an HIV AIDS Specialist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor