Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?

Background: Hepatic steatosis and disturbances in lipid metabolism has been identified as one of the metabolic disorders in hepatitis C (HCV) infection. This study was to examine the possible association of steatohepatitis with the degree of fibrosis in chronic HCV patients. Methods: Retrospectiv...

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Main Authors: Hasmoni, Mohamed Hadzri, Salleh, Rosemi, Jaafar, Khairul Azhar, Jaafar, Mohd. Hanizam, Abas, Ariff
Format: Article
Language:English
Published: Springer 2011
Subjects:
Online Access:http://irep.iium.edu.my/4311/
http://irep.iium.edu.my/4311/1/fulltext.pdf
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author Hasmoni, Mohamed Hadzri
Salleh, Rosemi
Jaafar, Khairul Azhar
Jaafar, Mohd. Hanizam
Abas, Ariff
author_facet Hasmoni, Mohamed Hadzri
Salleh, Rosemi
Jaafar, Khairul Azhar
Jaafar, Mohd. Hanizam
Abas, Ariff
author_sort Hasmoni, Mohamed Hadzri
building IIUM Repository
collection Online Access
description Background: Hepatic steatosis and disturbances in lipid metabolism has been identified as one of the metabolic disorders in hepatitis C (HCV) infection. This study was to examine the possible association of steatohepatitis with the degree of fibrosis in chronic HCV patients. Methods: Retrospective analysis of data from 72 patients with chronic HCV who underwent liver biopsy from January 2008 to March 2010 in two tertiary hospitals in Malaysia was performed. Patients’ demographic data and their body mass index (BMI), liver function tests and lipid profiles, histological findings of steatosis,staging and grading of biopsy specimen were made. Staging and grading of liver disease was done using modified histological activity index staging (score 0–6) and grading (score 0–18) respectively.Univariate analysis was done to assess the association between the degree of fibrosis and steatohepatitis. Results: 79.2% were males and the mean age for the study population was 40.7 ± 12.0 years. There were 13.9 and 9.7% cases of coinfection with HIV and hepatitis B respectively, while 76.4% patientswere infected with HCV alone. The table showed the superimposed steatohepatitis that was present with severe fibrosis and mild or no fibrosis in the two different groups. However, the univariate analysis assessing the association between the degree of fibrosis and the presence of steatohepatitis in both the two groups could not find any significant result. Conclusion: There was no significant association between steatohepatitis and the degree of fibrosis in patients with chronic HCV infection, either co-infection with other viruses or HCV infection alone.
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spelling iium-43112011-12-28T23:35:59Z http://irep.iium.edu.my/4311/ Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association? Hasmoni, Mohamed Hadzri Salleh, Rosemi Jaafar, Khairul Azhar Jaafar, Mohd. Hanizam Abas, Ariff RB Pathology RC Internal medicine Background: Hepatic steatosis and disturbances in lipid metabolism has been identified as one of the metabolic disorders in hepatitis C (HCV) infection. This study was to examine the possible association of steatohepatitis with the degree of fibrosis in chronic HCV patients. Methods: Retrospective analysis of data from 72 patients with chronic HCV who underwent liver biopsy from January 2008 to March 2010 in two tertiary hospitals in Malaysia was performed. Patients’ demographic data and their body mass index (BMI), liver function tests and lipid profiles, histological findings of steatosis,staging and grading of biopsy specimen were made. Staging and grading of liver disease was done using modified histological activity index staging (score 0–6) and grading (score 0–18) respectively.Univariate analysis was done to assess the association between the degree of fibrosis and steatohepatitis. Results: 79.2% were males and the mean age for the study population was 40.7 ± 12.0 years. There were 13.9 and 9.7% cases of coinfection with HIV and hepatitis B respectively, while 76.4% patientswere infected with HCV alone. The table showed the superimposed steatohepatitis that was present with severe fibrosis and mild or no fibrosis in the two different groups. However, the univariate analysis assessing the association between the degree of fibrosis and the presence of steatohepatitis in both the two groups could not find any significant result. Conclusion: There was no significant association between steatohepatitis and the degree of fibrosis in patients with chronic HCV infection, either co-infection with other viruses or HCV infection alone. Springer 2011-03 Article PeerReviewed application/pdf en http://irep.iium.edu.my/4311/1/fulltext.pdf Hasmoni, Mohamed Hadzri and Salleh, Rosemi and Jaafar, Khairul Azhar and Jaafar, Mohd. Hanizam and Abas, Ariff (2011) Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association? Hepatology International, 5 (1). pp. 312-313. ISSN 1936-0533 http://www.springerlink.com/content/1936-0533
spellingShingle RB Pathology
RC Internal medicine
Hasmoni, Mohamed Hadzri
Salleh, Rosemi
Jaafar, Khairul Azhar
Jaafar, Mohd. Hanizam
Abas, Ariff
Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title_full Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title_fullStr Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title_full_unstemmed Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title_short Steatohepatitis and fibrosis in chronic Hepatitis C patients: is there any association?
title_sort steatohepatitis and fibrosis in chronic hepatitis c patients: is there any association?
topic RB Pathology
RC Internal medicine
url http://irep.iium.edu.my/4311/
http://irep.iium.edu.my/4311/
http://irep.iium.edu.my/4311/1/fulltext.pdf