Frequency of HCV induced thrombocytopenia in Southern Punjab

Muhammad Usama , Ur Rehman, Alisha Afzal, M. Mumtaz, M. Zubair, Nouman Bhutta, J. Iqbal
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Abstract

Objective: To determine the frequency of HCV induced thrombocytopenia in Southern Punjab Study Design: Cross sectional study. Place and Duration: Department of Medicine, Sir Sadiq Khan Abbasi Hospital (Civil Hospital) Bahawalpur. Six months (September 2021 to March 2022) Methodology: Total 264 patients of hepatitis C, both male and female having age 20-70 years were recruited. History was taken and clinical examination was done. Blood sample was taken and send to hospital laboratory for platelet count. Results: Mean age was 40.88 ± 12.94 years. Among 264 patients of HCV, thrombocytopenia was found in 75 (28%) patients. Total 75 (28%) patients were hypertensive and 189 (72%) patients were non-hypertensive. Diabetics were 67 (25%) and non-diabetics were 197 (75%). In age group 20-45 years, thrombocytopenia was noted in 53 (29.61%) patients while 22 (25.88%) patients of age group 46-70 years were found with thrombocytopenia. Statistically insignificant association between thrombocytopenia and age group was detected (P = 0.530). Thrombocytopenia was noted in 45 (29.41%) males and 30 (27.03%) females. Association of Thrombocytopenia with gender was not significant with p value 0.671. Conclusion: Present study showed a higher proportion of thrombocytopenia in cases of hepatitis C. Most of the infected patients were males and higher number of patients related to age group 20-45 years. No association of development of thrombocytopenia with age group, gender and diabetes mellitus was detected. Keywords: Liver cirrhosis, thrombocytopenia, hepatitis C, hepatocellular carcinoma
旁遮普南部丙型肝炎病毒引起的血小板减少的频率
目的:测定旁遮普南部丙型肝炎病毒引起的血小板减少的频率。地点和时间:巴哈瓦尔布尔萨迪克·汗·阿巴斯爵士医院(民用医院)医学部。6个月(2021年9月至2022年3月)方法:共招募264例丙型肝炎患者,男女均有,年龄20-70岁。记录病史并进行临床检查。取血送医院化验室检测血小板计数。结果:平均年龄40.88±12.94岁。在264例HCV患者中,75例(28%)患者发现血小板减少。高血压患者75例(28%),非高血压患者189例(72%)。糖尿病患者67例(25%),非糖尿病患者197例(75%)。20 ~ 45岁年龄组有血小板减少53例(29.61%),46 ~ 70岁年龄组有血小板减少22例(25.88%)。血小板减少症与年龄组的相关性无统计学意义(P = 0.530)。男性45例(29.41%),女性30例(27.03%)。血小板减少症与性别的相关性无统计学意义,p值为0.671。结论:本研究显示丙型肝炎患者中血小板减少的比例较高,感染患者以男性居多,且以20-45岁年龄组较多。血小板减少症的发生与年龄、性别和糖尿病无相关性。关键词:肝硬化,血小板减少症,丙型肝炎,肝细胞癌
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