title: Acute HCV in HIV-infected MSM: modes of acquisition, liver fibrosis, and treatment.
abstract: Hepatitis C virus (HCV) is not considered to be efficiently transmitted sexually, but since the early 2000s, HCV infection of HIV-infected men who have sex with men has emerged as an epidemic worldwide. In this review, we discuss the epidemiology of sexually transmitted acute HCV, the growing body of literature regarding risk factors for acquisition, and possible mechanisms of transmission. We also discuss the progression of liver disease in these men and the advances in therapy of acute HCV with interferon-free regimens and put forth our current approach of evaluating and treating these men in New York City.
authors.affiliation: Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1009, New York, NY, 10029, USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Kaplan-Lewis
authors.forename: Daniel Seth
authors.initials: DS
authors.lastname: Fierer
mesh_terms: D000208:Acute Disease; D000998:Antiviral Agents / Q000627:therapeutic use; D018450:Disease Progression; D015658:HIV Infections / Q000150:complications*; D006526:Hepatitis C / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology / Q000635:transmission; D018451:Homosexuality, Male; D006801:Humans; D008103:Liver Cirrhosis / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D015229:Sexually Transmitted Diseases, Viral / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology / Q000635:transmission
chemical_list: D000998:Antiviral Agents