Hepatitis C virus infection in intravenous drug users

被引:17
作者
Harder, J
Walter, E
Riecken, B
Ihling, C
Bauer, TM
机构
[1] Univ Freiburg, Med Klin, Innere Med Abt 2, Dept Pathol, D-79106 Freiburg, Germany
[2] Univ Freiburg, Univ Hosp, Dept Med Gastroenterol Hepatol & Infect Dis 2, Freiburg, Germany
关键词
drug users; hepatitis C; liver function tests; liver histology;
D O I
10.1111/j.1469-0691.2004.00934.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Intravenous drug use (IVDU) remains a major means of hepatitis C virus (HCV) transmission. In this study, 101 drug users were studied prospectively after cessation of IVDU. Of these, 75.8% were anti-HCV positive, and 71.4% had elevated levels of alanine aminotransferase. These levels decreased significantly within 1 month of IVDU cessation (p 0.02). Liver biopsies showed minimal or mild fibrosis in 32 (71%) of 45 subjects, and severe fibrosis in two (4.4%) subjects. Anti-HCV-positive intravenous drug users in this study presented with mild liver disease and variable stages of disease progression. Biochemical disease activity might be affected by IVDU.
引用
收藏
页码:768 / 770
页数:3
相关论文
共 15 条
[1]   The prevalence of hepatitis C virus infection in the United States, 1988 through 1994 [J].
Alter, MJ ;
Kruszon-Moran, D ;
Nainan, OV ;
McQuillan, GM ;
Gao, FX ;
Moyer, LA ;
Kaslow, RA ;
Margolis, HS .
NEW ENGLAND JOURNAL OF MEDICINE, 1999, 341 (08) :556-562
[2]   The importance of preventing hepatitis C virus infection among injection drug users in the United States [J].
Alter, MJ ;
Moyer, LA .
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY, 1998, 18 :S6-S10
[3]   Prevalence and distribution of hepatitis C subtypes in patients with opioid dependence [J].
Gombas, W ;
Fischer, G ;
Jagsch, R ;
Eder, H ;
Okamoto, I ;
Schindler, S ;
Müller, C ;
Ferenci, P ;
Kasper, S .
EUROPEAN ADDICTION RESEARCH, 2000, 6 (04) :198-204
[4]   THE PATHOLOGY OF HEPATITIS-C AS A FUNCTION OF MODE OF TRANSMISSION - BLOOD-TRANSFUSION VS INTRAVENOUS DRUG-USE [J].
GORDON, SC ;
ELLOWAY, RS ;
LONG, JC ;
DMUCHOWSKI, CF .
HEPATOLOGY, 1993, 18 (06) :1338-1343
[5]   Clinical outcome of hepatitis C as a function of mode of transmission [J].
Gordon, SC ;
Bayati, N ;
Silverman, AL .
HEPATOLOGY, 1998, 28 (02) :562-567
[6]   HISTOLOGICAL CLASSIFICATION AND QUANTITATION OF THE SEVERITY OF CHRONIC HEPATITIS - KEEP IT SIMPLE [J].
HYTIROGLOU, P ;
THUNG, SN ;
GERBER, MA .
SEMINARS IN LIVER DISEASE, 1995, 15 (04) :414-421
[7]   Managing chronic hepatitis C acquired through intravenous drug use [J].
Jowett, SL ;
Agarwal, K ;
Smith, BC ;
Craig, W ;
Hewett, M ;
Bassendine, DR ;
Gilvarry, E ;
Burt, AD ;
Basendine, MF .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2001, 94 (03) :153-158
[8]  
KUHNL P, 1989, LANCET, V2, P324
[9]  
McCormick SE, 1996, AM J GASTROENTEROL, V91, P1516
[10]  
PAPATHEODORIDIS GV, 1995, AM J GASTROENTEROL, V90, P1843