Lack of Impact of Hepatitis C Virus Coinfection in End-Stage Renal Disease Patients With Hepatitis B Virus Infection

Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection results in more severe forms of liver disease in nonuremic patients; however, the impact of HCV coinfection is not clearly known in end-stage renal disease (ESRD) patients with HBV infection. We sought to determine the impact of HCV coi...

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Veröffentlicht in:Transplantation proceedings 2005-06, Vol.37 (5), p.2080-2082
Hauptverfasser: Moutinho, R.S., Perez, R.M., Pace, F.H.L., Ferreira, A.S.P., Cendoroglo, M., Medina-Pestana, J.O., Lanzoni, V.P., Silva, A.E.B., Ferraz, M.L.G.
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container_end_page 2082
container_issue 5
container_start_page 2080
container_title Transplantation proceedings
container_volume 37
creator Moutinho, R.S.
Perez, R.M.
Pace, F.H.L.
Ferreira, A.S.P.
Cendoroglo, M.
Medina-Pestana, J.O.
Lanzoni, V.P.
Silva, A.E.B.
Ferraz, M.L.G.
description Hepatitis B virus (HBV) and hepatitis C virus (HCV) coinfection results in more severe forms of liver disease in nonuremic patients; however, the impact of HCV coinfection is not clearly known in end-stage renal disease (ESRD) patients with HBV infection. We sought to determine the impact of HCV coinfection in HBV-infected ESRD patients. The HBsAg-positive ESRD patients evaluated between March 1999 and May 2003 were divided into two groups: group B, HBV infection alone, and group BC, HBV-HCV coinfection (anti-HCV-positive). Both groups were compared regarding epidemiological, laboratory, and histological findings. A liver biopsy was obtained in cases with evidence of viral replication and/or elevated alanine aminotransferase. One hundred patients (73% men) with mean age of 42 ± 11 years (55 patients in group B and 45 in group BC) were studied. Comparison between groups showed a difference in time on hemodialysis and duration of infection, which were higher in group BC ( P < .001 and P = .001, respectively) and in history of blood transfusion, which was also more frequent in group BC ( P = .04). Liver biopsies, obtained from 15 patients in group B and 28 patients in group BC, showed no difference in frequency of septal fibrosis (60% in group B vs 48% in group BC, P = .46) or interface hepatitis (73% vs 71%, P = .99). HBV-HCV coinfection was related to a longer time on hemodialysis, longer duration of infection, and history of blood transfusion. Contrary to nonuremic patients, HCV coinfection was not associated with more severe forms of liver disease in ESRD patients.
doi_str_mv 10.1016/j.transproceed.2005.03.002
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We sought to determine the impact of HCV coinfection in HBV-infected ESRD patients. The HBsAg-positive ESRD patients evaluated between March 1999 and May 2003 were divided into two groups: group B, HBV infection alone, and group BC, HBV-HCV coinfection (anti-HCV-positive). Both groups were compared regarding epidemiological, laboratory, and histological findings. A liver biopsy was obtained in cases with evidence of viral replication and/or elevated alanine aminotransferase. One hundred patients (73% men) with mean age of 42 ± 11 years (55 patients in group B and 45 in group BC) were studied. Comparison between groups showed a difference in time on hemodialysis and duration of infection, which were higher in group BC ( P &lt; .001 and P = .001, respectively) and in history of blood transfusion, which was also more frequent in group BC ( P = .04). Liver biopsies, obtained from 15 patients in group B and 28 patients in group BC, showed no difference in frequency of septal fibrosis (60% in group B vs 48% in group BC, P = .46) or interface hepatitis (73% vs 71%, P = .99). HBV-HCV coinfection was related to a longer time on hemodialysis, longer duration of infection, and history of blood transfusion. 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Liver biopsies, obtained from 15 patients in group B and 28 patients in group BC, showed no difference in frequency of septal fibrosis (60% in group B vs 48% in group BC, P = .46) or interface hepatitis (73% vs 71%, P = .99). HBV-HCV coinfection was related to a longer time on hemodialysis, longer duration of infection, and history of blood transfusion. 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subjects Adult
Female
Hepacivirus - isolation & purification
Hepatitis B e Antigens - blood
Hepatitis B Surface Antigens - analysis
Hepatitis C - complications
Humans
Kidney Failure, Chronic - surgery
Kidney Failure, Chronic - virology
Kidney Transplantation
Male
Renal Dialysis
Treatment Outcome
Uremia - surgery
title Lack of Impact of Hepatitis C Virus Coinfection in End-Stage Renal Disease Patients With Hepatitis B Virus Infection
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