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©The Author(s) 2021.
World J Gastroenterol. May 14, 2021; 27(18): 2073-2089
Published online May 14, 2021. doi: 10.3748/wjg.v27.i18.2073
Published online May 14, 2021. doi: 10.3748/wjg.v27.i18.2073
Table 5 A summary of the main immunological and rheumatologic manifestation in viral hepatitis
Hepatitis A | Hepatitis B | Hepatitis C | Hepatitis E | |
Rheumatoid factor | Only 2 cases | Approximately 12% of patients | 15% of patients | 1 case in a patient without transplant |
Antinuclear antibodies | In a case of lupus-like reaction and some cases of AIH triggered by HAV infection | Approximately 25% of patients | 20%-30% of patients | 9%-37% (acute) and 24% (chronic) of patients |
Cryoglobulins | 95% of patients in 1 study | 2% of patients | 65% of patients | 7% (acute) and 27% (chronic) of patients |
Arthralgia | 10%-20% of patients | 3% of patients | 42% of patients | Approximately 60% of patients |
Arthritis | Only in patients with vasculitis (7 cases) | About a quarter of patients with pain in joints | 5%-10% of patients | 2 cases |
GN | 4 cases of mesangio-proliferative GN | 3% of GN: membranous GN (40%); membrano-proliferative GN (20%); focal segmental glomerulo-sclerosis (20%); mesangio-proliferative GN (10%), others (10%) | Approximately 50% of GN: membranous GN (5%); membrano-proliferative GN (55%); focal segmental glomerulo-sclerosis (25%); mesangio-proliferative GN (20%), others (5%) | 1 case of membrano-proliferative GN; some cases of GN after transplantation |
Henoch-Schonlein purpura | 7 cases | Some cases | Some cases | 1 case |
CGV | 4 cases | 10% of non-HCV CGV cases | 90%-95% of CGV cases | Some cases |
PAN | No cases | 35% of PAN cases | 20% of PAN cases | No cases |
Uveitis | Some cases | 2% of patients | Some cases | No cases |
AIH | 11 cases | 55% of AIH cases | Very rare | No cases |
PBC | 1 case of overlap syndrome | 40% of PBC cases | Approximately 10% of PBC cases | No cases |
- Citation: Maslennikov R, Ivashkin V, Efremova I, Shirokova E. Immune disorders and rheumatologic manifestations of viral hepatitis. World J Gastroenterol 2021; 27(18): 2073-2089
- URL: https://www.wjgnet.com/1007-9327/full/v27/i18/2073.htm
- DOI: https://dx.doi.org/10.3748/wjg.v27.i18.2073