Estudio sobre la infección por el virus de la hepatitis C en pacientes con psoriasis de un centro de referencia de Brasil



Título del documento: Estudio sobre la infección por el virus de la hepatitis C en pacientes con psoriasis de un centro de referencia de Brasil
Revista: Acta gastroenterológica latinoamericana
Base de datos: PERIÓDICA
Número de sistema: 000358468
ISSN: 0300-9033
Autores: 1
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Instituciones: 1Universidade Federal da Bahia, Salvador, Bahia. Brasil
Año:
Periodo: Dic
Volumen: 42
Número: 4
Paginación: 285-290
País: Argentina
Idioma: Español
Tipo de documento: Estadística o encuesta
Enfoque: Descriptivo
Resumen en español METAVIR F3/F4 en 66,7% de los pacientes. Conclusiones. Este estudio mostró una prevalencia mayor de HCV en pacientes con psoriasis que en la población general. Fueron encontradas lesiones dermatológicas más graves en los portadores de HCV
Resumen en inglés Introduction. Hepatitis C is the major cause ofliver transplantation and hepatocellular carcinoma and shows a global prevalence of 3%. Hepatitis C virus (HCV) is associated with extrahepatic manifestations (e.g., cutaneous affections) and psoriasis has been reported as a comorbidity. However, there are few studies analyzing this association. Objectives. 1) To evaluateanti-HCV prevalence (confirmed by the detection of HCV-RNA) in patients with psoriasis and its potential clinical implications; 2) to analyze the prevalence of otherinfections in this population: hepatitis B virus (HBV), human T lymphotropic virus, subtypes I and II (HTLV I/II), and human immunodeficiency virus, subtypes I and II (HIV I/II). Methods. This is cross sectional study that included patients older than 18 years-old with psoriasis from a Teaching Hospital in Salvador, Bahia. An epidemiological questionnaire was administered and serological tests were performed: surface HBV antigen (HBsAg), antibodies to HBsAg (anti-HBs), anti-HTLV I/II, anti-HIV I/II, and antiHCV. Anti-HCV positive results were confirmed by HCV-RNA detection and viral genotype was determined. Skin lesions were evaluated using the Psoriasis Area and Severity Index (PASI). Liver biopsies were analyzed according to the METAVIR score. Results. From the 140 patients included in the study, 7.1% were anti-HCV positive confirmed by the detection of HCV RNA. This prevalence was higher than that inthe city of Salvador(1.5%).Other serological results were: HBsAg 0%, anti-HBs 25.8%, HTLV I/II (0,9%), and HIV I/II 0%. PASI score was higher in positive anti-HCV patients than in their negative counterparts (19.5 versus 13.4). Histopathological analysis showed 66.7% of patients with METAVIR F3/F4. Conclusion. Anti-HCV prevalencewas higher in psoriasis patients than in the general population of the city. More severe skin lesions were found in HCV patients
Disciplinas: Medicina
Palabras clave: Dermatología,
Gastroenterología,
Psoriasis,
Hepatitis C,
Epidemiología
Keyword: Medicine,
Dermatology,
Gastroenterology,
Psoriasis,
Hepatitis C,
Epidemiology
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