Liver Steatosis and its Implications in Patients with Chronic Viral Hepatitis C

Oana Irina Gavril, I. Eșanu, O. Gavrilescu, R. Popa, M. Cobzeanu, Diana Tatarciuc, T. Vasilcu, Andrei Drugescu, R. Gavril, F. Mitu
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Abstract

Abstract Introduction. Hepatic steatosis represents a common pathological feature in patients with chronic viral C infection and can be independently associated with obesity, increased alcohol consumption, type 2 diabetes, and hyperlipidemia. These factors can contribute to the development of hepatic steatosis in patients with chronic HCV (Hepatitis C virus) infection. Materials and methods. 64 patients who underwent treatment with oral antivirals were included and evaluated through non-invasive methods for the degree of hepatic steatosis. Results. After at least 3 months of sustained viral response, all patients with advanced hepatic steatosis were categorized into lower classes in the Steatotest evaluation. Conclusion. This study highlights the importance of direct acting antiviral (DAA) treatment in the medical care of patients with chronic viral C infection and hepatic steatosis. Thirty years after the discovery of the hepatitis C virus, treatment with oral antivirals revolutionizes the medical care of patients with this chronic infection.
慢性丙型病毒性肝炎患者的肝脂肪变性及其意义
摘要介绍。肝脂肪变性是慢性丙型病毒感染患者的一种常见病理特征,可独立与肥胖、饮酒增加、2型糖尿病和高脂血症相关。这些因素可促进慢性丙型肝炎病毒感染患者肝脂肪变性的发展。材料和方法。本研究纳入64例接受口服抗病毒药物治疗的患者,并通过非侵入性方法评估肝脂肪变性程度。结果。在持续病毒反应至少3个月后,所有晚期肝脂肪变性患者在脂肪测试评估中被归为较低级别。结论。本研究强调了直接作用抗病毒(DAA)治疗在慢性丙型病毒感染和肝脂肪变性患者的医疗护理中的重要性。丙型肝炎病毒发现三十年后,口服抗病毒药物治疗彻底改变了这种慢性感染患者的医疗护理。
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