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2099-12-31
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HEPATITIS C, HCV GENOTYPES AND HEPATIC CHRONIC RENAL FAILURE ON HAEMODIALYSIS IN PLANTATION SIDEROSIS IN PATIENTS WITH BRAZIL
Author
Farah, Katia de Paula
Carmo, Ricardo Andrade
Antunes, Carlos Maurıcio de Figueiredo
Serufo, Jose ́ Carlos
Nobre Junior, Vandack Alencar
Castro, Lucia Porto Fonseca de
Leite, Virginia Hora Rios
Silva, Rogerio Augusto Pinto
Alvares, Maria Carolina Barbosa
Correa, Guilherme Oliveira
Busek, Solange Cristina Uber
Lambertucci, Jose Roberto
Carmo, Ricardo Andrade
Antunes, Carlos Maurıcio de Figueiredo
Serufo, Jose ́ Carlos
Nobre Junior, Vandack Alencar
Castro, Lucia Porto Fonseca de
Leite, Virginia Hora Rios
Silva, Rogerio Augusto Pinto
Alvares, Maria Carolina Barbosa
Correa, Guilherme Oliveira
Busek, Solange Cristina Uber
Lambertucci, Jose Roberto
Affilliation
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Minas Gerais State Blood Center. Belo Horizonte, MG, Brasil
Department of Parasitology. Institute of Biological Sciences. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Department of Pathology. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Department of Pathology. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Division of Radiology. University Hospital. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Rene Rachou Research Center. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Rene Rachou Research Center. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Minas Gerais State Blood Center. Belo Horizonte, MG, Brasil
Department of Parasitology. Institute of Biological Sciences. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Department of Pathology. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Department of Pathology. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Division of Radiology. University Hospital. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Rene Rachou Research Center. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Rene Rachou Research Center. Oswaldo Cruz Foundation. Belo Horizonte, MG, Brasil
Infectious Diseases Branch. Department of Internal Medicine. School of Medicine. Federal University of Minas Gerais. Belo Horizonte, MG, Brasil
Abstract
Background. The aim of this study was to investigate the HCV genotypes, hepatic siderosis, inflammatory activity and fibrosis of the liver in patients with chronic renal failure (CRF) on haemodialysis in Brazil. Methods. A cohort of 72 CRF patients was compared with a group of 65 candidates for blood donation (CBD). For the subjects selected, who tested positive for anti-HCV antibodies and were HCV-PCR positive, a protocol with epidemiological, clinical and laboratory information was completed. An ultrasound-guided liver biopsy was performed and histological analysis of liver fragments was carried out. The presence of HCV-RNA in plasma was established by nested-RT-PCR. The genotype was determined by Restriction Fragment Length Polymorphism (RFLP) analysis of the PCR product. Results. HCV genotype I was predominant in both groups, but genotype 2 was the second most common amongst CRF patients, and there was a significant difference when compared with the CBD group (P = 0.016). Regarding inflammation and fibrosis, no significant difference was observed in the histology of the liver between the study groups. Siderosis of the liver was more prevalent in the CRF group (P = 0.000). Severe complications of liver biopsies were reported in 10 CRF patients (13.2%). Conclusions. Genotype 2 was observed more frequently in the haemodialysis group. No statistically significant difference was detected between the CRF and CBD groups with regard to both inflammatory response and liver fibrosis. Hepatic siderosis has been attributed to excessive iron administration. As percutaneous liver biopsy resulted in severe complications, we suggest that other procedures of evaluating liver damage in CRF patients should be looked at thoughtfully
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