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
Jazyk: angličtina
Rok vydání: 2020
Předmět:
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