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Hepatitis Hepatitis Basics

Don't Hide from Hepatitis C


Medically Reviewed On: April 25, 2005

Hepatitis C is often described as "silent" because the majority of people who have the disease are unaware of it. About 4 million people in the United States have been infected with the hepatitis C virus, nearly 3 million of whom are chronically infected. Though that’s twice the number of people living with HIV and AIDS, for example, hepatitis C does not receive the same attention as other chronic diseases.  But it needs to be on everyone’s radar.

Some cases of hepatitis C are acute, meaning that the virus will often clear from the bloodstream without treatment. However, about 55 to 85 percent of people will develop chronic hepatitis C, in which the virus never leaves the bloodstream and can cause life-threatening liver problems. Unfortunately, only about 20 percent of people with hepatitis C will exhibit any signs, while the other 80 percent may not even know they are infected. According to the Centers for Disease Control and Prevention (CDC), people at risk include those who have used illegal intravenous drugs, those who were treated for blood clotting problems before 1987, those who received blood transfusions or donor organs before 1992; and people who were ever on long-term kidney dialysis.

Antiviral drugs can treat the disease but will lose some effectiveness as chronic hepatitis C progresses. A study published in the Journal of Medical Virology found that people who had cleared the hepatitis C virus from their bloodstream after six months of therapy remained hepatitis C negative for up to 12 years Still,, when liver biopsies were performed in a subgroup of patients, researchers found that some had mild inflammation in their livers. In total, about 10 percent of patients, all of whom had liver disease before treatment, developed liver cancer.

"It provides a word of caution when we tell patients that they are cured," says Dr. Emmet Keeffe, a liver specialist and the chief of hepatology at Stanford University Medical Center in California. "We know people who have responded to therapy successfully without detectable virus six months after completion of therapy have a more than 95 percent chance of not having the virus detected in their blood on long-term follow-up. This study takes it a bit further by looking at liver tissue.”

Below, Keeffe discusses the transmission and treatment of hepatitis C.

What are the symptoms of hepatitis?
When symptoms do occur, they are typically gastrointestinal in nature—nausea, upset stomach, vomiting. There's often, but not always, a fever. Malaise, or a general feeling of being run down or fatigued, is also present. So it's a flu-like illness, although it's more severe.

When viral hepatitis is particularly severe, the individual will develop jaundice, in which the skin and the whites of the eye become yellow.

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