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potential false positive hep c antibody test-please help

I just received a positive hep c antibody test. The cut-off was <1.00 and my result was 1.04. I am extremely worried and have taken a quantitative pcr w/rfx test, I'm awaiting the results. My liver enzymes were also elevated (which makes my doc think it is not a false positive) My AST enzymes were at 147 with the range at 10-30. I have read that lifting weights can cause this to rise, and I did lift weights 3 days prior to this test when I hadn't before. Any input on my results? I am going crazy over this. I am a young mom with two boys and ZERO risk factors other than one incident that I will explain below. My doctor told me not to kiss my kids and to use a different toilet which is making me so much worse. The only potential risk factor (which is why I got tested in the first place) was because a vascular surgeon I was going to was injecting the varicose veins on my legs with a needle (called sclerotherapy), accidentally pricked his own finger through his glove, and continued using that needle on me. I am going out of my mind. Any input is sooooo appreciated. Thank you!
Best Answer
1747881 tn?1546175878
This is from Quest, their test actually test down to 10 IU/ml, trust me, with the super low EIA score and the negative PCR, you do not have hep c

Question 2. What do these test results mean: “<15 Detected” or “<15 Not Detected”?

A “<15 Detected” means the assay was able to detect HCV RNA but was not able to accurately quantitate the viral load. A “<15 Not Detected” means the assay did not detect HCV RNA (Target Not Detected).This test is performed using the COBAS® AmpliPrep/COBAS® Taqman® HCV Test v2.0. The lowest viral load this assay can accurately quantify is 15 IU/mL, but the limit of detection is 10-13 IU/mL. Therefore, we can qualitatively report detection even if the viral load is under 15 IU/mL.

http://education.questdiagnostics.com/faq/FAQ22v1
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1747881 tn?1546175878
Actually completely positive EIA is 3.8 and completely positive CIA is 11.0, both are antibody test, still no worries for you as you are not even close, just wanted to clarify if you went looking.
Helpful - 0
1747881 tn?1546175878
"Maybe I don't need another PCR"

No, you don't, IF you had a completely positive EIA score (11.0), I would might and I mean MIGHT(depending on circumstances of exposure, not yours) recommend a second PCR, if you feel you need another PCR to make you comfortable then by all means get one, but rest easy knowing I think it is a waste of time and money. LOL

Have a great day
Helpful - 0
Avatar universal
Thank you so much for the clarification. I can't express my gratitude to you. I am normally a rational person, but the anxiety with all of this seems to make me irrational and not think clearly. I can see that I am annoying some people on here, and I truly apologize for that. Maybe I don't need another PCR, but help on getting a hold of my anxiety with this!

Hrsepwrguy, I have read your responses on here and can see you are very knowledgeable with this virus, testing, and treatment. I do trust your judgement and I will stop reading things that come from the internet, as I am not seeing the big picture. I didn't even see the part about "response guided therapy." Thank you for all of your insight and helping me see things clearly. Your responses are doing more than you realize, and I thank you so much. Take Care.
Helpful - 0
1747881 tn?1546175878
"To assess response-guided therapy eligibility, an "Undetected" result is required, and a result of "<15 IU/mL mL (<1.18 log IU/mL)" should not be considered equivalent to an "Undetected" result."

What they are talking about is an old treatment that is no longer used, treatment duration and futility rules were determined by "response-guided therapy"

It has absolutely nothing to do with your situation, once again , trust me you do not have HCV, no need to worry

Have a great day
Helpful - 0
Avatar universal
It seems clear you have no understanding about what your reading. Re-read what you posted as you say yourself your results were. "HCV RNA Not detected". If you would have had a viral load then it would have said.

"<15 HCV RNA, Quantitative Real Time PCR IU/mL . DETECTED"

Really its not that hard to understand you don't have Hep C. But you seem to insist you do. See if you can find a doctor to treat you, good luck though.
Helpful - 0
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