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1996-03-09
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Document 0528
DOCN M9650528
TI Persistent hepatitis C virus RNA replication in haemophiliacs: role of
co-infection with human immunodeficiency virus.
DT 9605
AU Chambost H; Gerolami V; Halfon P; Thuret I; Michel G; Sicardi F;
Rousseau S; Perrimond H; Cartouzou G; Service d'Hematologie Pediatrique,
CHU Timone, Marseille,; France.
SO Br J Haematol. 1995 Nov;91(3):703-7. Unique Identifier : AIDSLINE
MED/96048917
AB In order to evaluate the evolution of transfusional hepatitis C in
haemophiliacs, we performed a retrospective study of ALT levels and HCV
viraemia with a RNA PCR assay in 57 patients. We found that the vast
majority of HCV-infected patients remained viraemic (43/57 = 75%) and
higher ALT levels correlated with HCV viraemia. Although indicators of
the transfusional viral load (age, severity of haemophilia) and HBV
co-infection did not correlate with HCV RNA replication, HIV
seropositivity was strongly associated with persistence of HCV viraemia
(23/25 = 92% in HIV-positive versus 20/32 = 62% in HIV-negative
patients), without any correlation with CD4 counts. Genotyping of HCV in
the 43 viraemic patients shows more frequent genotype 1 in the
HIV-seropositive group (14/23) than in the seronegative group (6/20).
Our data emphasize that besides the role of the immunodeficiency status,
the genotypes of HCV might be involved in the differences observed in
terms of HCV RNA replication between the HIV-seropositive and
seronegative haemophiliacs.
DE Adolescence Adult AIDS-Related Opportunistic Infections/COMPLICATIONS
Child Hemophilia/*VIROLOGY Hepatitis C/*COMPLICATIONS/VIROLOGY
Hepatitis C Viruses/GENETICS/*ISOLATION & PURIF Human HIV
Infections/*COMPLICATIONS/VIROLOGY HIV Seropositivity Middle Age
Polymerase Chain Reaction Retrospective Studies RNA, Viral/*ISOLATION
& PURIF Support, Non-U.S. Gov't Virus Replication JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).