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العنوان
The Effect Of Hepatitis C Virus Infection On The iron parameters In Chronic Hemodialysis Patients
المؤلف
Al Fiky,Haytham Sherif
هيئة الاعداد
باحث / Haytham Sherif Al Fiky
مشرف / Khaled Hussein Abou Seif
مشرف / Magdy Mohamed El Sharkawy
مشرف / Essam Nour El Din
الموضوع
 HCV infection among chronic hemodialysis patients -
تاريخ النشر
2009
عدد الصفحات
142.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2009
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

from 142

from 142

Abstract

For more than a decade, the relationship and comorbidity of iron overload and HCV infection among chronic hemodialysis patients has been an area of active clinical research.
Although several studies have shown elevation of serum iron markers in hemodialysis patients with HCV, the clinical importance of this finding is debatable because there is not a conclusive association with disease severity.
Hepatic iron content is usually only mildly elevated in chronic HCV infection, although elevated HIC is strongly predictive of response to interferon therapy and is associated with advanced disease.
HFE mutations appear to cause acceleration of disease progression in HCV. Some, but not all, studies have shown a significant association between HFE genotype, HIC, and disease progression.
It is likely that iron overload worsens liver disease in HCV through induction of oxidative stress and modification of cellular immunity.
Iron depletion therapy clearly reduces serum aminotransferases, and may prove beneficial in delaying disease progression among patients who have not responded to interferon and ribavirin therapy.