Hepatitis C virus infection in patients with leukemia

We have studied 30 patients with acute leukemia by the second‐generation assay for antibodies to hepatitis C virus (HCV) to determine the incidence of HCV infection and the impact of anti‐HCV positivity on liver disease. After a complete remission, 21/30 (70%) patients were anti‐HCV‐positive. During...

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Veröffentlicht in:American journal of hematology 1994-08, Vol.46 (4), p.278-282
Hauptverfasser: Fujii, Yasuhiko, Kaku, Kohei, Tanaka, Masahisa, Yosizaki, Miki, Kaneko, Toshio, Matumoto, Noboru
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container_end_page 282
container_issue 4
container_start_page 278
container_title American journal of hematology
container_volume 46
creator Fujii, Yasuhiko
Kaku, Kohei
Tanaka, Masahisa
Yosizaki, Miki
Kaneko, Toshio
Matumoto, Noboru
description We have studied 30 patients with acute leukemia by the second‐generation assay for antibodies to hepatitis C virus (HCV) to determine the incidence of HCV infection and the impact of anti‐HCV positivity on liver disease. After a complete remission, 21/30 (70%) patients were anti‐HCV‐positive. During chemotherapy the anti‐HCV‐positive patients had more severe liver disease than the anti‐HCV‐negative patients, and they had a higher incidence of chronic hepatitis (13/21; 62% vs. 1/9; 11%, P < 0.01). During subsequent follow‐up, 15/30 (50%) patients relapsed and 15/30 (50%) patients completed the chemotherapy protocols. After a relapse 12/15 (80%) patients were anti‐HCV‐positive and they had more severe liver disease than the anti‐HCV‐negative patients. Among the patients who completed chemotherapy (n = 15), biochemical evidence of chronic hepatitis was found in 9/9 (100%) anti‐HCV‐positive, and 2/6 (33%) anti‐HCV‐negative cases during off‐therapy follow‐up after therapy‐withdrawal (P < 0.05). These results indicate that HCV plays an important role in the etiology of chronic hepatitis which could worsen the final prognosis of successfully treated patients with leukemia. © 1994 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajh.2830460405
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After a complete remission, 21/30 (70%) patients were anti‐HCV‐positive. During chemotherapy the anti‐HCV‐positive patients had more severe liver disease than the anti‐HCV‐negative patients, and they had a higher incidence of chronic hepatitis (13/21; 62% vs. 1/9; 11%, P &lt; 0.01). During subsequent follow‐up, 15/30 (50%) patients relapsed and 15/30 (50%) patients completed the chemotherapy protocols. After a relapse 12/15 (80%) patients were anti‐HCV‐positive and they had more severe liver disease than the anti‐HCV‐negative patients. Among the patients who completed chemotherapy (n = 15), biochemical evidence of chronic hepatitis was found in 9/9 (100%) anti‐HCV‐positive, and 2/6 (33%) anti‐HCV‐negative cases during off‐therapy follow‐up after therapy‐withdrawal (P &lt; 0.05). 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subjects Adolescent
Adult
Chronic Disease
Female
Hepatitis Antibodies - analysis
Hepatitis C - blood
Hepatitis C - diagnosis
Hepatitis C - immunology
hepatitis C virus
Humans
leukemia
Leukemia - microbiology
Liver Diseases - microbiology
Male
Middle Aged
Serologic Tests
transfusion
title Hepatitis C virus infection in patients with leukemia
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