Study of the Effect of Different Hepatitis C Virus Genotypes on Splenomegaly
Autor: | Umer Irshad, Zuha Ali, Samat Habib, Tayyab Mumtaz Khan, Hassaan Ahmed, Muhammad Bilal, Yumnah Anwar, Shanza Azhar, Noor Khalid, Muhammad Junaid Azhar |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Cirrhosis Anemia Hepatitis C virus 030204 cardiovascular system & hematology medicine.disease_cause Gastroenterology Serology 03 medical and health sciences 0302 clinical medicine genotypes Internal medicine Genotype medicine Risk of mortality Internal Medicine hcv Genotyping splenomegaly business.industry General Engineering medicine.disease Complication business 030217 neurology & neurosurgery |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Background Several recent studies have shown that the hepatitis C virus (HCV) and its different genotypes are a predominant and leading cause of cirrhosis and splenomegaly in different regions of the world. Advanced stage of cirrhosis leads to portal hypertension that causes splenomegaly. This complication may have many other manifestations such as anemia, infections, and bleeding disorders in severe stages. This study aimed to determine the effect of different HCV genotypes on the development of splenomegaly and to assess which HCV genotypes are more associated with it. Materials and methods A total of 483 conveniently sampled HCV patients were included in this descriptive cross-sectional study. Six genotypes (1, 2a, 2b, 3a, 3b, and mixed) were studied, and 80 patients for each of these genotypes were included. Data were collected from patient medical records regarding patient demographic details, HCV serology and genotyping, and sonographic size of the spleen. Results In total, splenomegaly was present in 14.1% (n=68) patients. The development of splenomegaly was significantly associated with old age, as 25.2% (n=26) of patients above 60 years of age (n=103) developed splenomegaly (P=0.005). Our study determined that splenomegaly was significantly related to HCV genotypes 3a, 3b, and 1 (P |
Databáze: | OpenAIRE |
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