Wang NS, Liao LT, Zhu YJ, Pan W, Fang F. Follow-up study of hepatitis C virus infection in uremic patients on maintenance hemodialysis for 30 months. World J Gastroenterol 2000; 6(6): 888-892 [PMID: 11819715 DOI: 10.3748/wjg.v6.i6.888]
Corresponding Author of This Article
Dr. Nian Song Wang, Department of Nephrology, Shanghai Sixth People’s Hospital, Shanghai 200233, China. Email: Niansong@public8.sta.net.cn
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Brief Reports
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World J Gastroenterol. Dec 15, 2000; 6(6): 888-892 Published online Dec 15, 2000. doi: 10.3748/wjg.v6.i6.888
Table 1 Comparison of detection of HCVM in GI and GII
Parameter
GI (%) (n = 43)
GII (%) (n = 19)
P value
anti-HCVIgM (+)
21 (48.8)
6 (31.6)
> 0.05
anti-HCVIgG (+)
25 (58.1)
4 (21.1)
< 0.05
HCV RNA (+)
27 (62.8)
7 (36.8)
> 0.05
All three (+)
18 (41.9)
4 (21.1)
> 0.05
At least one (+)
29 (67.4)
8 (42.2)
> 0.05
Table 2 Comparison of clinical manifestation in HCV positive and negative group of HD patients
Clinical manifestation
HCVM positive group (n = 37)
HCVM negative group (n = 25)
P value
M/F
22/15
16/9
> 0.05
Mean age (years)
49.6 ± 16.8
48.4 ± 14.4
> 0.05
Range
16-71
26-67
Mean duration of HD (months)
31.2 ± 8.6
8.1 ± 4.7
< 0.01
Range
2-96
1-24
History of transfusion
29 (78.4%)
11 (44.0%)
< 0.01
EPO
12 (32.4%)
8 (32.0%)
> 0.05
History of kidney transplantation (n = 6)
6 (16.2%)
0 (0.0%)
< 0.05
History of CAPD (n = 8)
6 (16.2%)
2 (8.0%)
> 0.05
HBVM positive
18 (48.6%)
10 (40.0%)
< 0.01
ALT abnormality
10 (27.0%)
1 (4.0%)
< 0.01
BUN (mmol/L)
24.6 ± 8.6
28.4 ± 10.2
> 0.05
Cr (μmol/L)
1154.4 ± 402.6
1164.8 ± 468.5
> 0.05
Table 3 Relationship between dialysis times and HCV markers
HD time (Year)
n
IgM
IgG
HCV RNA
Only one marker positive
n
%
n
%
n
%
n
%
< 1
32
9
28.1
8
25.0
12
37.5
14
43.8
1-2
18
9
50.0
10
55.6
11
61.1
12
66.7
2-3
5
3
60.0
4
80.0
4
80.0
4
80.0
> 3
7
6
85.7
7
100.0
7
100.0
7
100.0
Table 4 Relationship between number of transfusion and HCV markers
Transfusion (U)
n
IgM
IgG
HCV RNA
Only one marker positive
n
%
n
%
n
%
n
%
0
22
6
27.3
7
31.8
6
27.3
8
36.4
1-5
8
2
25.0
2
25.0
4
50.0
4
50.0
6-10
16
7
43.8
6
37.5
10
62.5
11
68.8
11-20
6
4
66.7
5
83.3
5
83.3
5
83.3
> 30
10
8
80.0
9
90.0
9
90.0
9
90.0
Table 5 Comparison the clinical manifestation between HCVM positive and negative group in 22 patients without transfusion
Clinical manifestation
Positive group
Negative group
P value
Cases
8
14
M/F
5/3
8/6
> 0.05
Mean age (Years)
53.1 ± 14.2
49.6 ± 12.5
> 0.05
Range
30-71
30-67
Mean duration of HD (months)
24.2 ± 6.4
3.4 ± 1.6
< 0.01
Range
4-36
1-6
History of kidney transplantation
0
0
History of CAPD
0
0
EPO
3
5
> 0.05
ALT abnormality
3
0
< 0.01
BUN (mmol/L)
25.7 ± 7.8
26.4 ± 6.8
> 0.05
Cr (μmol/L)
1132.6 ± 482.6
1182.4 ± 464.3
> 0.05
Table 6 Positive prevalence of anti-HCV antibodies in six consecutive periods of 6 mo
Time
Cases
Positive (%)
Negative (%)
1995.6
63
37 (58.7)
26 (41.3)
1995.12
67
36 (53.7)
31 (46.3)
1996.6
62
34 (54.8)
28 (45.2)
1996.12
64
32 (50.0)
32 (50.0)
1997.6
76
40 (52.6)
36 (47.4)
1997.12
83
44 (53.0)
39 (47.0)
Table 7 Positive prevalence of anti-HCV antibodies in uremic patients when they were admitted to our HD center
Time
New patient
Positive (%)
Negative (%)
1995.6-1995.11
42
2 (4.8)
40 (95.2)
1995.12-1996.5
39
1 (2.6)
38 (97.4)
1996.6-1996.11
45
3 (6.7)
42 (93.3)
1996.12-1997.5
65
3 (4.6)
62 (95.4)
1997.6-1997.11
71
2 (2.8)
20 (97.2)
1997.12
21
0 (0.0)
21 (100.0)
Total
283?
11 (3.9)
273 (96.1)
Citation: Wang NS, Liao LT, Zhu YJ, Pan W, Fang F. Follow-up study of hepatitis C virus infection in uremic patients on maintenance hemodialysis for 30 months. World J Gastroenterol 2000; 6(6): 888-892