Hepatic steatosis in chronic hepatitis B develops due to host metabolic factors: A comparative approach with genotype 1 chronic hepatitis C
| Autor: | Emmanuel Tsochatzis, E.K. Manesis, Georgia Kafiri, N. Chrysanthos, Athanasios J. Archimandritis, George V. Papatheodoridis |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Hepatitis B virus medicine.medical_specialty Pathology Genotype Biopsy Hepacivirus Overweight Polymerase Chain Reaction Gastroenterology Body Mass Index Diabetes Complications Immunoenzyme Techniques Hepatitis B Chronic Insulin resistance Internal medicine Diabetes mellitus Prevalence medicine Humans Hepatitis B e Antigens Retrospective Studies Hepatitis B Surface Antigens Hepatology business.industry Hepatitis C Hepatitis C Chronic Middle Aged Hepatitis B Prognosis medicine.disease Obesity Fatty Liver DNA Viral Female Steatosis medicine.symptom business Body mass index |
| Zdroj: | Digestive and Liver Disease. 39:936-942 |
| ISSN: | 1590-8658 |
| DOI: | 10.1016/j.dld.2007.07.151 |
| Popis: | Background/aims Hepatic steatosis has not been adequately studied in chronic hepatitis B, while it is considered to be a cardinal feature in chronic hepatitis C and to be mainly metabolically induced in patients infected with genotype 1. We investigated the prevalence of and the parameters associated with steatosis in HBeAg-negative chronic hepatitis B. Methods We studied 213 patients with HBeAg-negative chronic hepatitis B and compared them with 163 patients with genotype-1 chronic hepatitis C. Steatosis was semi-quantitatively graded. Results Steatosis was significantly less frequent in chronic hepatitis B than chronic hepatitis C (60% versus 72%, P = 0.016), but there was no difference in the prevalence of moderate/severe steatosis. In chronic hepatitis B, steatosis was associated only with higher body mass index (P = 0.002), while moderate/severe steatosis was associated only with higher body mass index (P = 0.043) and diabetes (P = 0.031). Steatosis was relatively less frequent in chronic hepatitis B than chronic hepatitis C non-diabetic, normal-weight patients (45.6% versus 62.5%, P = 0.063), but it did not differ in diabetic and/or overweight/obese patients with chronic hepatitis B or chronic hepatitis C. Conclusions Hepatic steatosis in HBeAg-negative chronic hepatitis B (a) is less frequent than in genotype-1 chronic hepatitis C, (b) is mainly associated with presence of host metabolic factors, such as high body mass index and diabetes and (c) does not seem to be associated with the severity of liver histological lesions. |
| Databáze: | OpenAIRE |
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