Case Clinic 2: A 49-Year-Old Man With a History of Alcohol Consumption

PROGRAM DESCRIPTION In this Case Clinic, Andrew J. Muir, MD, discusses the nuances of management of a 49-year-old man with a past history of alcohol consumption and untreated hypertension who ...

PROGRAM DESCRIPTION
In this Case Clinic, Andrew J. Muir, MD, discusses the nuances of management of a 49-year-old man with a past history of alcohol consumption and untreated hypertension who presents with unexplained intermittent back pain. He has never been tested for hepatitis C virus (HCV) infection, despite being in the birth cohort recommended for screening and having received a blood transfusion about 25 years earlier. This case discussion highlights the importance of not only screening for HCV but also retaining patients in care once the diagnosis is established. In addition to reviewing the clinical aspects of management with a focus on patients with renal impairment and response to treatment in African Americans, strategies for overcoming common barriers to treatment also are reviewed.

EDUCATIONAL OBJECTIVES
At the conclusion of this activity, participants should be better able to:Select the appropriate direct-acting antiviral (DAA) agent for hepatitis C virus (HCV) infection based on viral genotypes (and subtype) and associated complicationsImplement strategies, including the spectrum of molecular testing protocols, to identify and monitor disease progression and treatment efficacy and potentially avert HCV treatment resistanceFacilitate better linkage of care among specialists and other providers to strengthen screening, treatment, and monitoring practices, particularly for underserved and marginalized populations

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