The efficacy and safety of direct-acting antiviral drugs in the management of hepatitis C virus-related arthritis

Autor: Samah M. Alian, Mohamed Othman Wahba, Ahmed Fathy Gomaa, Sahar S. Khalil
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Egyptian Rheumatology and Rehabilitation, Vol 47, Iss 1, Pp 1-8 (2020)
Druh dokumentu: article
ISSN: 2090-3235
DOI: 10.1186/s43166-020-00021-6
Popis: Abstract Background Hepatitis C virus (HCV) infection is a worldwide disease. HCV-related arthritis is one of the extrahepatic manifestations of the disease. The treatment of chronic HCV has been revolutionized with the introduction of oral direct-acting antiviral (DAA) drugs. We aim to determine the outcomes of treatment by the combination of sofosbuvir-daclatasvir with or without ribavirin in patients with HCV-related arthritis. Results Post-therapy, all group I patients had sustained viral response. Significant improvement of the outcome parameters was found 12 weeks post-treatment in group I compared to baseline and group II. Complete and partial remission of articular symptoms in group I patients was observed in 80% and 5%, respectively, while 85% of patients in group II showed no remission. Few mild side effects were encountered with therapy. Conclusion The combination of sofosbuvir-daclatasvir with or without ribavirin is an effective and safe therapy for eradication of HCV infection and amelioration of HCV-related arthritis.
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