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Hepatitis C antibody and chronic liver disease in haemophilia.
Makris, M; Preston, F E; Triger, D R; Underwood, J C; Choo, Q L; Kuo, G; Houghton, M.
Afiliación
  • Makris M; Department of Haematology, Royal Hallamshire Hospital, Sheffield, UK.
Lancet ; 335(8698): 1117-9, 1990 May 12.
Article en En | MEDLINE | ID: mdl-1971863
A radioimmunoassay was used to detect antibodies to hepatitis C virus (anti-HCV) in 154 patients with haemophilia. Prevalence of anti-HCV was associated with exposure to clotting factor concentrates. 76 of 129 (59%) who had received factor VIII or IX had anti-HCV: 42 of 55 (76%) who required over 10,000 units of concentrate annually had anti-HCV, compared with 34 of 74 (46%) who required less, and 0 of 25 patients who had never received concentrates. Anti-HCV were significantly more common in patients seropositive for antibodies against human immunodeficiency virus (anti-HIV) or with markers of previous hepatitis B infection than in those without anti-HIV or hepatitis B markers (88% vs 39% and 75% vs 46%, respectively). 5 of 23 (22%) haemophiliacs treated only with heated concentrates had anti-HCV compared with 71 of 106 (67%) patients who received unmodified products. 35 patients with chronic liver disease underwent liver biopsy: histological examination showed features associated with post-transfusion hepatitis in 24, all of whom were anti-HCV-positive; of the other 11 patients with no histological features of non-A, non-B hepatitis, 5 were anti-HCV-positive. HCV appears to be the major predisposing factor for most non-A, non-B hepatitis and chronic liver disease in haemophilia.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticuerpos Antihepatitis / Hemofilia A / Virus de Hepatitis / Hepatopatías Tipo de estudio: Diagnostic_studies / Evaluation_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Lancet Año: 1990 Tipo del documento: Article Pais de publicación: Reino Unido
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Anticuerpos Antihepatitis / Hemofilia A / Virus de Hepatitis / Hepatopatías Tipo de estudio: Diagnostic_studies / Evaluation_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Humans / Middle aged Idioma: En Revista: Lancet Año: 1990 Tipo del documento: Article Pais de publicación: Reino Unido