scholarly journals Hepatitis C seropositivity in lichen planus: a case control study in a tertiary care hospital

Author(s):  
Gangaiah Narendra ◽  
Mowazaffin Ahmed ◽  
Potlapati Amruthavalli ◽  
Raghunatha Shivanna

<p class="abstract"><strong>Background:</strong> Lichen planus (LP), an immune-mediated disorder, has been reported as an extra-hepatic manifestation of Hepatitis C virus (HCV) infection, especially in HCV hyper endemic areas such as southern Europe and Japan. In India, the association between LP and HCV is documented in many studies. The aim of this study was to investigate hepatitis C virus infection in patients with lichen planus from an epidemiological standpoint and determine the sero-positivity of hepatitis C virus in patients with lichen planus and also to describe clinical profile of lichen planus in patients with hepatitis C virus infection.</p><p class="abstract"><strong>Methods:</strong> This hospital-based case control study was conducted over 167 patients and 167 controls, evaluation included detailed history, cutaneous examination, routine blood tests and ELISA test for seropositivity.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this case control study 5.4% of the total study population presented with hepatitis c infection. Hepatitis C infection was more common in oral LP out of all the HCV positivity obtained in LP patients. Male to female ratio was 1:2.2. Prevalence of HCV infection was found to be slightly more in cases (6.6%) than controls (4.2%) but there is no statistically significant difference in the prevalence of HCV infection among cases and controls.</p><p class="abstract"><strong>Conclusions:</strong> In conclusion, from the evaluation of our epidemiological data, any etiological link between LP and HCV could not be found in our population and an etiological link between LP and HCV cannot be inferred solely by epidemiological data.</p>

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Solomon Ali ◽  
Solomon Abera ◽  
Adane Mihret ◽  
Tamrat Abebe

Background.Chronic hepatitis C virus (HCV) has become the global “epidemic” with an estimated 123 million people currently infected worldwide. As the same time diabetes is also rapidly emerging as a global health care problem that threatens to reach pandemic levels by 2030.Objective.To investigate the magnitude of HCV infection in type II diabetes as compared to controls.Methodology.A case control study design was conducted at Jimma University Specialized Hospital from May to June 2010. A total of 604 study subjects were included in this study. Sociodemographic and risk factor data were collected by questionnaire. From serum sample, HCVAb screening was done by rapid antibody screening test. Liver functioning tests and total cholesterol tests were done by Dr. Lange LP 800 spectrophotometer.Results.The prevalence of HCV in type II diabetes and nondiabetic controls was 9.9% and 3.3%, respectively. In multivariate analysis, HCV seropositives have high risk of developing diabetes as compared with seronegatives (AOR = 2.997, 95% CI: (1.08, 8.315)).Conclusion.In this study, we found a positive association between past HCV infection and type II diabetes. As we did not perform HCV RNA test, we could not assess the association with HCV viremia.


1994 ◽  
Vol 112 (3) ◽  
pp. 595-601 ◽  
Author(s):  
K. R. Neal ◽  
D. A. Jones ◽  
D. Killey ◽  
V. James

SUMMARYThe introduction of screening for hepatitis C virus (HCV) by the National Blood Transfusion Service identified donors who had acquired HCV infection. We undertook a case-control study amongst blood donors in the Trent Region to determine risks for HCV infection. A total of 74 blood donors confirmed positive for hepatitis C infection and 150 age, sex and donor venue matched controls were included in the study. Fifty-three percent of hepatitis C infected blood donors reported previous use of injected drugs compared to no controls; relative risk (RR) not estimatable (lower limit 95% CI = 20). Other risk factors were a history of: receipt of a blood transfusion or blood products RR = 3·6 (95% CI 1·5–8·3), having been a ‘health care worker’ RR = 2·8 (95% CI 1·1–7·6), tattooing RR = 3·3 (95% CI 1·2–8·7), and an association with having been born abroad RR = 3·2 (95% CI 1·1–9·5). No risk was shown for a history of multiple sexual partners, ear piercing or acupuncture. Injecting drug use explains more than 50% of hepatitis C infections in blood donors, a group who are less likely to have injected drugs than the general population.


2007 ◽  
Vol 19 (8) ◽  
pp. 647-652 ◽  
Author(s):  
Giuliani Michele ◽  
Lajolo Carlo ◽  
Miani Carlo Mario ◽  
Lodi Giovanni ◽  
Minenna Pasquale ◽  
...  

Blood ◽  
2003 ◽  
Vol 102 (3) ◽  
pp. 996-999 ◽  
Author(s):  
Alfonso Mele ◽  
Alessandro Pulsoni ◽  
Elvira Bianco ◽  
Pellegrino Musto ◽  
Andrè Szklo ◽  
...  

Abstract The existence of an association between infection with hepatitis C virus (HCV) and B-cell non-Hodgkin lymphoma (B-NHL) remains controversial, largely because previous studies were based on prevalent case series or comparisons with less than optimal control groups. This hospital-based case-control study was conducted from January 1998 through February 2001 to evaluate the association between HCV infection and B-NHL of different types. Cases were consecutive patients with a new diagnosis of B-NHL; controls were patients from other departments of the same hospitals. Both groups were interviewed using a standardized questionnaire. The prevalence of HCV infection was calculated by histologic type of B-NHL and clinical behavior (indolent or aggressive). Adjusted odds ratio (OR) and HCV-attributable risk (AR) were estimated. HCV prevalence was 17.5% among the 400 lymphoma patients and 5.6% among the 396 controls. The OR of B-NHL (patients vs controls), adjusted by age, sex, level of education, and place of birth, was 3.1 (95% confidence interval [CI], 1.8-5.2); an OR indicative of positive association was found for indolent and aggressive B-NHL. The estimated AR was 4.6%. This study confirms an association between HCV and B-NHL. In Italy, 1 of 20 instances of B-NHL may be attributable to HCV infection and may, thus, benefit from antiviral treatment.


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