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Effect of antiviral therapy on hepatitis C virus related glomerulopathy
Joint Authors
Abbas, Ghulam
Husayn, Shahid
Shafi, Tahir
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 19, Issue 5 (31 Oct. 2008), pp.775-780, 6 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2008-10-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
To determine the efficacy of antiviral therapy in hepatitis C virus associated glomerulopathy, we studied 30 patients with HCV-associated glomerulopathy at Sheikh Zayed Hospital, Lahore, Pakistan from June 2004 to February 2007.
Membranoproliferative glomerulonephritis (MPGN) was the commonest kidney lesion, being reported in 25 / 30 (83%), followed by membranous glomerulonephritis (MGN) in 3 / 30 (10%) and mesangioproliferative glomerulonephritis (MesGN) in 2 / 30 (7%).
Cryoglobulinaemia was positive in 8 / 20 (40%) cases.
Most common HCV genotype was 3a.
All the patients received interferon alpha combined with ribavirin therapy for 6-12 months based on viral genotypes and doses were adjusted according to renal function.
Anti-viral response was achieved in the form of aviremia at completion of 6 months treatment in 8 / 30 (26.6%), decreased transaminases levels from a mean of 96.4 ± 72.2 to 60.1 ± 44.3 IU / L, p= 0.005, 24-hour proteinuria decreased significantly from a mean of 4.8 g to 1.20 g, p= 0.001, and complement C3 and C4 concentrations returned to normal in those subjects who responded to treatment.
The rate of relapse was 50%.
We conclude that though the overall antiviral response of HCV was not high, there was a significant reduction in proteinuria suggesting indirectly an improvement in renal pathology.
Further studies with large number of patients with follow-up renal biopsies are warranted.
American Psychological Association (APA)
Abbas, Ghulam& Husayn, Shahid& Shafi, Tahir. 2008. Effect of antiviral therapy on hepatitis C virus related glomerulopathy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 19, no. 5, pp.775-780.
https://search.emarefa.net/detail/BIM-39725
Modern Language Association (MLA)
Abbas, Ghulam…[et al.]. Effect of antiviral therapy on hepatitis C virus related glomerulopathy. Saudi Journal of Kidney Diseases and Transplantation Vol. 19, no. 5 (Dec. 2008), pp.775-780.
https://search.emarefa.net/detail/BIM-39725
American Medical Association (AMA)
Abbas, Ghulam& Husayn, Shahid& Shafi, Tahir. Effect of antiviral therapy on hepatitis C virus related glomerulopathy. Saudi Journal of Kidney Diseases and Transplantation. 2008. Vol. 19, no. 5, pp.775-780.
https://search.emarefa.net/detail/BIM-39725
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 779-780
Record ID
BIM-39725