TY - JOUR KW - Biomarkers KW - Female KW - genotype KW - Hepacivirus KW - Hepatitis C KW - Hepatitis C Antibodies KW - Humans KW - Immunoenzyme Techniques KW - leprosy KW - Liver KW - Liver Function Tests KW - Male KW - Prevalence KW - RNA, Viral KW - Transaminases KW - Viremia AU - Egawa K AU - Yukawa T AU - Arakawa S AU - Tanaka T AU - Tsuda F AU - Okamoto H AU - Miyakawa Y AU - Mayumi M AB -

BACKGROUND/METHODS: Markers of hepatitis C virus infection were tested for in 229 patients with leprosy (male 154, female 75) in Japan.

RESULTS: Antibody to hepatitis C virus by a second-generation enzyme immunoassay was detected in 68 patients (30%), and RNA of hepatitis C virus in 41 (18%), in prevalence rates much higher (p < 0.001) than those in matched controls (11/923 or 1.2% and 9/923 or 1.0%, respectively). Hepatitis C virus genotypes were II/1b in 37 (90%), III/2a in three (7%) and IV/2b in one (2%), in which II/1b was more frequently (p < 0.003) represented than in hepatitis C virus carriers without leprosy in Japan (520/767 or 68%). The 41 patients with hepatitis C virus viremia had serum transaminase levels significantly higher than those in the other 188 patients without viremia (p < 0.01).

CONCLUSIONS: These results indicate that leprous patients confined in institutions are at high risk of hepatitis C virus infection, and that patients infected with hepatitis C virus should be monitored for liver function and placed on interferon therapy whenever required.

BT - Journal of hepatology C1 - http://www.ncbi.nlm.nih.gov/pubmed/8738725?dopt=Abstract DA - 1996 Apr DO - 10.1016/s0168-8278(96)80159-0 IS - 4 J2 - J. Hepatol. LA - eng N2 -

BACKGROUND/METHODS: Markers of hepatitis C virus infection were tested for in 229 patients with leprosy (male 154, female 75) in Japan.

RESULTS: Antibody to hepatitis C virus by a second-generation enzyme immunoassay was detected in 68 patients (30%), and RNA of hepatitis C virus in 41 (18%), in prevalence rates much higher (p < 0.001) than those in matched controls (11/923 or 1.2% and 9/923 or 1.0%, respectively). Hepatitis C virus genotypes were II/1b in 37 (90%), III/2a in three (7%) and IV/2b in one (2%), in which II/1b was more frequently (p < 0.003) represented than in hepatitis C virus carriers without leprosy in Japan (520/767 or 68%). The 41 patients with hepatitis C virus viremia had serum transaminase levels significantly higher than those in the other 188 patients without viremia (p < 0.01).

CONCLUSIONS: These results indicate that leprous patients confined in institutions are at high risk of hepatitis C virus infection, and that patients infected with hepatitis C virus should be monitored for liver function and placed on interferon therapy whenever required.

PY - 1996 SP - 397 EP - 402 T2 - Journal of hepatology TI - Hepatitis C virus antibody, viral RNA and genotypes in leprous patients in Japan. VL - 24 SN - 0168-8278 ER -