Stage of liver fibrosis in patients with congenital bleeding disorders and infected with hepatitis C virus.
Pol Arch Intern Med
; 127(6): 412-417, 2017 06 30.
Article
en En
| MEDLINE
| ID: mdl-28530647
ABSTRACT
INTRODUCTION:
Hepatitis C virus (HCV) is the major cause of chronic liver disease in patients with hemophilia. However, since liver biopsy should not be routinely used in these patients, the accurate assessment of the stage of fibrosis has been limited so far.OBJECTIVES:
The aim of this study was to determine the stage of liver fibrosis in HCVinfected patients with hemophilia by using noninvasive methods of fibrosis assessment, and to analyze the influence of risk factors on liver fibrosis. PATIENTS ANDMETHODS:
The study included 71 HCVinfected patients with hemophilia and other congenital bleeding disorders. Patients were divided into 3 groups HCV-RNA negative after successful treatment, HCV-RNA negative after spontaneous elimination of infection, and HCVRNA positive. Liver fibrosis was measured with shear wave elastography and FibroTest. The risk factors for liver fibrosis were analyzed, including demographic factors, HCV genotype, coinfections, and comorbidities.RESULTS:
Cirrhosis or significant fibrosis (METAVIR score >F2) was observed in 26.8% of the patients. The stage of fibrosis was associated with age and estimated duration of infection (P <0.001). Active and past HBV infection did not affect fibrosis. The stage of liver fibrosis was lower in patients with spontaneous clearance of HCV (P = 0.007).CONCLUSIONS:
Patients in our study had a similar stage of liver fibrosis to that reported by other studies on hemophilia. The older age and long duration of infection are the main risk factors for advanced fibrosis. Noninvasive methods such as shear wave elastography and FibroTest may allow a proper assessment of the fibrosis stage in hemophilia patients, particularly when used together and in correlation with other clinical parameters. They may also be useful in other groups of HCVinfected patients.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Índice de Severidad de la Enfermedad
/
Hepatitis C Crónica
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Hemofilia A
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Cirrosis Hepática
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Pol Arch Intern Med
Año:
2017
Tipo del documento:
Article