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[Liver histology in chronic hemodialysis patients infected with hepatitis C virus]. / Histología hepática en pacientes hemodializados crónicos infectados con el virus de la hepatitis C.
Iotti, A; Avagnina, M A; Mandó, O; Cusumano, A; Brunet, R; Iotti, R; Turín, M; Elsner, B.
Afiliação
  • Iotti A; Servicio de Patología, Centro de Educación Médica e Investigacíones Clínicas (CEMIC), Buenos Aires, Argentina.
Medicina (B Aires) ; 57(5): 541-5, 1997.
Article em Es | MEDLINE | ID: mdl-9674222
Liver biopsies were analyzed in 21 patients with chronic renal failure (CRF) who tested positive for Hepatitis C Virus (HCV), using Elisa II and/ or PCR. The study included 14 men and 7 women, the average age being 41 years old (range: 20-65). The average span of time under dialysis was 64 months (range: 12-192). Hbs ag. was positive in six patients. Patients underwent biopsy for showing persistent rise of transaminase for more than 6 months. The modified Knodell Index was used to grade hepatic lesions. All biopsies showed chronic hepatitis, of which 2 were associated with cirrhosis. Eight patients were infected with mild chronic hepatitis, ten were infected with moderate chronic hepatitis, and only three patients had a severe lesion. Fibrosis was mild in 13 cases, moderate in 6, and 2 had cirrhosis. Chronic Hepatitis C characteristic lesions analysis showed lymphoid nodules in 6 cases (29%), ductal epithelium lesions in 7 (33%), and steatosis in 7 (33%). Chronic HCV infection in our patients seems to have histologic characteristics similar to those reported in HCV positive non CRF patients.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diálise Renal / Hepatite C / Falência Renal Crônica / Fígado Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Medicina (B Aires) Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Argentina País de publicação: Argentina
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Diálise Renal / Hepatite C / Falência Renal Crônica / Fígado Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Es Revista: Medicina (B Aires) Ano de publicação: 1997 Tipo de documento: Article País de afiliação: Argentina País de publicação: Argentina