Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis

The treatment strategy for cases of combined autoimmune hepatitis (AIH) and chronic hepatitis C (CHC) has not yet been established. A 47-year-old woman and a 53-year-old-woman were hospitalized for treatment of CHC. Ultrasonography and histological findings revealed that their liver was not cirrhoti...

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Main Authors: Oeda, Satoshi, Mizuta, Toshihiko, Isoda, Hiroshi, Kuwashiro, Takuya, Oza, Noriko, Iwane, Shinji, Takahashi, Hirokazu, Kawaguchi, Yasunori, Eguchi, Yuichiro, Toda, Shuji, Ozaki, Iwata, Anzai, Keizo, Fujimoto, Kazuma
Format: Online
Language:English
Published: Springer Japan 2012
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328672/
id pubmed-3328672
recordtype oai_dc
spelling pubmed-33286722012-05-14 Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis Oeda, Satoshi Mizuta, Toshihiko Isoda, Hiroshi Kuwashiro, Takuya Oza, Noriko Iwane, Shinji Takahashi, Hirokazu Kawaguchi, Yasunori Eguchi, Yuichiro Toda, Shuji Ozaki, Iwata Anzai, Keizo Fujimoto, Kazuma Case Report The treatment strategy for cases of combined autoimmune hepatitis (AIH) and chronic hepatitis C (CHC) has not yet been established. A 47-year-old woman and a 53-year-old-woman were hospitalized for treatment of CHC. Ultrasonography and histological findings revealed that their liver was not cirrhotic but did have chronic damage. The histological findings of both patients were suggestive of AIH. The patients were systematically treated with pegylated interferon-alpha 2b plus ribavirin which was preceded by and combined with corticosteroid (CS), and showed sustained virological responses and normal liver function. Although these two patients with combined AIH and CHC were successfully treated with this regimen, careful attention to exacerbation of hepatic inflammation is needed because hepatitis C viral load was increased due to immunosuppression during CS treatment. Springer Japan 2012-03-28 2012-04 /pmc/articles/PMC3328672/ /pubmed/22593772 http://dx.doi.org/10.1007/s12328-012-0295-4 Text en © The Author(s) 2012
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Oeda, Satoshi
Mizuta, Toshihiko
Isoda, Hiroshi
Kuwashiro, Takuya
Oza, Noriko
Iwane, Shinji
Takahashi, Hirokazu
Kawaguchi, Yasunori
Eguchi, Yuichiro
Toda, Shuji
Ozaki, Iwata
Anzai, Keizo
Fujimoto, Kazuma
spellingShingle Oeda, Satoshi
Mizuta, Toshihiko
Isoda, Hiroshi
Kuwashiro, Takuya
Oza, Noriko
Iwane, Shinji
Takahashi, Hirokazu
Kawaguchi, Yasunori
Eguchi, Yuichiro
Toda, Shuji
Ozaki, Iwata
Anzai, Keizo
Fujimoto, Kazuma
Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
author_facet Oeda, Satoshi
Mizuta, Toshihiko
Isoda, Hiroshi
Kuwashiro, Takuya
Oza, Noriko
Iwane, Shinji
Takahashi, Hirokazu
Kawaguchi, Yasunori
Eguchi, Yuichiro
Toda, Shuji
Ozaki, Iwata
Anzai, Keizo
Fujimoto, Kazuma
author_sort Oeda, Satoshi
title Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
title_short Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
title_full Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
title_fullStr Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
title_full_unstemmed Efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis C and autoimmune hepatitis
title_sort efficacy of pegylated interferon plus ribavirin in combination with corticosteroid for two cases of combined hepatitis c and autoimmune hepatitis
description The treatment strategy for cases of combined autoimmune hepatitis (AIH) and chronic hepatitis C (CHC) has not yet been established. A 47-year-old woman and a 53-year-old-woman were hospitalized for treatment of CHC. Ultrasonography and histological findings revealed that their liver was not cirrhotic but did have chronic damage. The histological findings of both patients were suggestive of AIH. The patients were systematically treated with pegylated interferon-alpha 2b plus ribavirin which was preceded by and combined with corticosteroid (CS), and showed sustained virological responses and normal liver function. Although these two patients with combined AIH and CHC were successfully treated with this regimen, careful attention to exacerbation of hepatic inflammation is needed because hepatitis C viral load was increased due to immunosuppression during CS treatment.
publisher Springer Japan
publishDate 2012
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3328672/
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