Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C.

Autor: Orasan, Olga Hilda, Urian, Laura, Ciulei, George, Breaban, Iulia, Stefan, Andreea Maria, Secara, Sorina Cezara, Taut, Adela-Sitar, Sarlea, Simina Tarmure, Negrean, Vasile, Sampelean, Dorel, Patiu, Ioan Mihai, Orasan, Remus Aurel, Cozma, Angela
Předmět:
Zdroj: Journal of Mind & Medical Sciences; 2018, Vol. 5 Issue 2, p236-243, 8p
Abstrakt: Objectives. We evaluated platelet counts in end-stage renal disease and chronic viral hepatitis. Materials and Methods. We studied 70 patients with end-stage renal disease and chronic viral hepatitis and compared them to a control group of 45 patients without hepatitis. Results. The presence of viral hepatitis was associated with a higher prevalence of thrombocytopenia. Correlations between age, C-reactive protein, liver stiffness measurement, and platelet count were observed. C-reactive protein levels > 10 mg/dl were associated with a lower risk of thrombocytopenia in patients with end-stage renal disease and chronic viral hepatitis, yet age > 60 years, dialysis vintage > 10 years, aspartate and alanine aminotransferase levels > 20 IU/L, albumin levels < 3.5 g/dl, and fibrosis stage ≥ 3 were not related. Conclusions. Chronic viral hepatitis leads to a higher prevalence of thrombocytopenia. Platelet counts in these patients begin to decrease significantly once liver fibrosis reaches stage III. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index