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[Auto-immune serological disorders in chronic viral C hepatitis: prevalence and clinical significance]

AbstractBACKGROUND: Hepatitis C viral (HCV) infection has been shown to lead to auto-immune phenomena. AIMS: We review the prevalence of serological auto-immune disorders associated to HCV infection and to clarify their clinical significance. METHODS: Literature review. RESULTS: The serological immune response to HCV infection may include the development of cryoglobulinemia, rheumatoid factor, anticardiolipin, antinuclear, anti-liver-kidney-microsome 1 and anti-smooth muscle antibodies. Serological auto-immune manifestations were explained by the lymphotropism of HCV and the polyclonal activation of B cells. Interferon-based treatment of HCV infection may precipitate or exacerbate the associated auto-immune disease. CONCLUSION: In patients with serological auto-immune disorders associated with HCV infection, a very careful analysis of clinical and biological features is needed. Application of classification criteria of systemic auto-immune diseases and testing more specific antibodies can resolve this point.
AuthorsLeila Mouelhi, Radhouane Debbeche, Imene Sfar, Mohamed Salem, Slim Bouzaidi, Sinda Trabelsi, Yosr Gorgi, Taoufik Najjar (Affiliation: Service de Gastro-entérologie, Hôpital Charles Nicolle, Tunis.)
JournalLa Tunisie médicale (Tunis Med) Vol. 86 Issue 9 Pg. 777-81 (Sep 2008) ISSN: 0041-4131 [Print] Tunisia
Vernacular TitleAnomalies serologiques auto-immunes au cours de l'hepatite chronique virale C: prevalence et signification clinique.
PMID19472775 (Publication Type: English Abstract, Journal Article, Review)
Chemical References
  • Autoantibodies
Topics
  • Autoantibodies (blood)
  • Autoimmune Diseases (blood, epidemiology, etiology)
  • Hematologic Diseases (blood, epidemiology, etiology, immunology)
  • Hepatitis C, Chronic (complications)
  • Humans
  • Prevalence