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1996-03-09
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Document 0527
DOCN M9650527
TI Hepatitis C virus genotypes and severity of chronic liver disease in
haemophiliacs.
DT 9605
AU Tagariello G; Pontisso P; Davoli PG; Ruvoletto MG; Traldi A; Alberti A;
Centre for Blood Diseases, Castelfranco Veneto Hospital, TV,; Italy.
SO Br J Haematol. 1995 Nov;91(3):708-13. Unique Identifier : AIDSLINE
MED/96048918
AB We studied the activity and stage of chronic liver disease in 45
HCV-seropositive/HIV-seronegative patients with severe haemophilia
followed for at least 10 years. HCV-RNA was detected in serum in 36
patients (80%) Viraemic cases were further analysed for HCV genotypes:
10 (28%) were infected by type 1a, 10 (28%) by type 1b, seven (19%) by
type 2, four (11%) by type 3, four (11%) had mixed infections (one by 1a
+ 1b, one by 1a + 2, one by type 2 + 3, and one by 1a + 2 + 3). ALT
levels were within the normal range in 55% of the HCV-RNA negative
patients but in only 11% of the viraemic cases. Results show a trend for
higher levels of ALT in HCV-RNA-positive patients compared with those
without viraemia (98 +/- 56 v 60 +/- 61), and particularly with patients
with type 3 HCV infection (148 +/- 44). We suggest that a slow
progression of chronic liver disease occurs in haemophilic
HCV-positive/HIV-negative patients and conclude that presence of HCV-RNA
in serum correlates well with cytolitic damage but, in the time-scale of
our follow-up period, commonly used clinical-laboratory parameters
cannot predict the chronic evolution of liver infection or identify
differences in disease progression in relation to specific HCV subtypes.
DE Adolescence Adult Base Sequence Child Chronic Disease Genotype
Hemophilia/COMPLICATIONS/*VIROLOGY Hepatitis C/COMPLICATIONS/GENETICS
Hepatitis C Viruses/*GENETICS Human Liver
Diseases/COMPLICATIONS/*VIROLOGY Male Middle Age Molecular Sequence
Data RNA, Viral/GENETICS Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).