Docality.com Logo
 
Dr. Viola  Gay  Od image

Dr. Viola Gay Od

16300 Mill Creek Blvd # 118
Mill Creek WA 98012
425 422-2900
Medical School: Other - Unknown
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: 1481
NPI: 1437208519
Taxonomy Codes:
152W00000X

Request Appointment Information

Awards & Recognitions

About Us

Practice Philosophy

Conditions

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

None Found

Publications

Cell-mediated immunity in HBeAg-positive homosexuals with chronic liver disease. - The British journal of venereal diseases
Chronic liver disease developing after infection with the hepatitis B virus may be due to impairment of cell-mediated immunity (CMI). In a study of CMI by the lymphocyte transformation test to two mitogens and hepatitis B surface antigen (HBsAg) the response to the mitogens, phytohemagglutinin (PHA) and purified protein derivative (PPD), was normal in all of 15 male homosexuals with HBsAg-positive chronic liver disease, indicating a normal non-specific cellular immune response. By contrast, only one of the 15 patients showed a response to HBsAg, which may explain the high prevalence of chronic HBsAg carriage in these patients.
Natural history of liver disease in chronic hepatitis B surface antigen carriers. Survey of 100 patients from Great Britain. - Lancet (London, England)
100 consecutive British chronic carriers of hepatitis B surface antigen seen in a London teaching hospital are described. 77 were male homosexuals and only 19 had either symptoms or signs of chronic liver disease. 27 had normal liver function tests and 69 of the remaining patients had minimal changes, chronic persistent hepatitis, chronic active hepatitis, cirrhosis, or hepatocellular carcinoma diagnosed on liver biopsy. The 4 remaining patients did not have a biopsy but did have abnormal liver function tests. Chronic hepatitis B virus infection was an important cause of these conditions. Most patients showed no clinical, biochemical, or histological change during a mean follow-up period of 44 months, and only 9.7% spontaneously seroconverted from hepatitis B antigen positivity to become anti-hepatitis B e antibody carriers. Although the prognosis is good in the medium term, 7 patients died from hepatocellular carcinoma.
Histopathology and localization of viral antigens in the liver of HBsAg positive homosexuals. - Histopathology
In a survey of the prevalence of chronic hepatitis B in a male homosexual population, liver biopsies were done in 28 asymptomatic patients who had persistently raised aminotransferases. Four patients had active cirrhosis (AC), 13 had chronic active hepatitis (CAH) of various degrees of severity and 11 had either chronic persistent hepatitis (CPH) or minor changes of the type seen in hepatitis B virus carriers. Core associated antigens and surface antigen, were demonstrated by the PAP immunoperoxidase method in 20 cases. Core and surface antigens tended to be present in the same areas of the biopsy and quantitation showed higher core to surface antigen ratios in CAH than in CPH, the difference being statistically significant. In seven cases no core-associated antigens were demonstrated in the presence of surface antigen: most of these patients had either inactive disease or active cirrhosis. In one carrier neither antigen was demonstrated. Ten patients had two or more biopsies. Four of these had no treatment and the amounts of core and surface positive cells in the liver did not increase. Six were treated with immunosuppressants. This did not alter the degree of either inflammation or fibrosis. but the number of surface and core antigen positive cells in the liver was higher after treatment in almost every case.

Map & Directions

16300 Mill Creek Blvd # 118 Mill Creek, WA 98012
View Directions In Google Maps

Nearby Doctors

800 164Th St Se Ste N
Mill Creek, WA 98012
425 426-6034
14607 Main Street Apartment A208
Mill Creek, WA 98012
206 953-3989
20225 Bothell Everett Hwy, Unit 622
Bothell, WA 98012
317 226-6723
15418 Main Street Suite M303
Mill Creek, WA 98012
425 395-5453
15906 Mill Creek Blvd Suite 105
Mill Creek, WA 98012
425 852-2009
15421 Main St Ste 101
Mill Creek, WA 98012
425 168-8095
15418 Main St Unit M303 The Everett Clinic
Mill Creek, WA 98012
425 395-5453
2719 161St Pl Se
Mill Creek, WA 98012
425 188-8750
1700 132Nd St Se Ste L
Mill Creek, WA 98012
425 381-1555
1508 166Th Pl Se
Mill Creek, WA 98012
425 988-8554