|Title:||Low viraemia at enrollment in children with chronic hepatitis C favours spontaneous viral clearance||Authors:||Chen S.-T.
|Issue Date:||2009||Publisher:||Blackwell Publishing Ltd||Journal Volume:||16||Journal Issue:||11||Start page/Pages:||796-801||Source:||Journal of Viral Hepatitis||Abstract:||
Summary. The significance of hepatitis C viral (HCV)-RNA levels in long-term clinical outcomes of children with chronic HCV infection is not well understood. We conducted a long-term follow-up study of 42 children with chronic HCV infection that included clinical evaluation, biochemical tests, HCV genotyping and repeated quantitative HCV-RNA detection. Patients were divided into low and high viraemia groups according to RNA levels at enrollment (below/above 4.5 × 104 IU/mL), and clinical, biochemical and virological factors were evaluated. Overall, 14.3% (6/42) of patients developed spontaneous viral clearance during a median 10.1 years of follow-up. HCV-RNA levels at enrollment and mean RNA levels during follow-up for each patient were significantly correlated (R = 0.9018, 95% CI: 0.6637-0.9038, P ? 0.001). HCV-RNA level fluctuation was within two log units in 76% of patients. Cumulative viraemia probability during follow-up could be predicted by viraemia levels at enrollment (P = 0.0092). Chronic HCV-infected children, with an RNA level below 4.5 × 104 IU/mL at enrollment, have a higher spontaneous viral clearance rate. ? 2009 Blackwell Publishing Ltd.
|ISSN:||1352-0504||DOI:||10.1111/j.1365-2893.2009.01135.x||metadata.dc.subject.other:||alanine aminotransferase; albumin; aspartate aminotransferase; bilirubin; prothrombin; virus RNA; adolescent; article; child; child health; childhood disease; clinical article; follow up; genotype; hepatitis C; human; preschool child; priority journal; remission; school child; viremia; virus load
|Appears in Collections:||醫學系|
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