Liver Histology of Patients with Hepatitis C Virus Infection and Normal Alanine Aminotransferase Levels
dc.contributor.author | Aygen, Bilgehan | |
dc.contributor.author | Deniz, Kemal | |
dc.contributor.author | Akhan, Sila | |
dc.contributor.author | Celen, Mustafa Kemal | |
dc.contributor.author | Yildiz, Orhan | |
dc.contributor.author | Ayaz, Celal | |
dc.contributor.author | Dogan, Suat Ali | |
dc.date.accessioned | 2024-04-24T17:27:29Z | |
dc.date.available | 2024-04-24T17:27:29Z | |
dc.date.issued | 2012 | |
dc.department | Dicle Üniversitesi | en_US |
dc.description.abstract | Objective: In this study, our objective is to evaluate histological changes in livers of hepatitis C virus (HCV)-infected patients with normal alanine aminotransferase (ALT) levels. Methods: 72 patients over 16 years old, with chronic hepatitis C (CHC) and normal ALT levels were evaluated in this multicenter retrospective study. Persistently normal ALT level was defined as 2 or 3 normal ALT levels at intervals of at least 1 month during 6 months. Demographic data, year of diagnosis, at least 2 ALT values within 6 months, hepatitis markers, results of HCV RNA and the liver biopsy were all evaluated. Serological markers have been tested with different kits. HCV RNA has been studied by RT-PCR with dynamic range and sensitivity of different kits. All biopsies were evaluated again by the same pathologist. Results: The mean age was 44 +/- 13 years and 61.1% were female. HCV RNA levels were between 1.53x10(2)-1.13x10(8) IU/ml. The mean ALT levels were 30.3 +/- 9.6 IU/lt. The mean grade of necro-inflammation was 4.67 +/- 1.96 and mean staging of fibrosis was 1.03 +/- 1.13. The ratios of minimal, mild and moderate activity in the liver biopsies were 48.6%, 45.3% and, 2.8%, respectively. Rate of portal-periportal fibrosis, bridging fibrosis and incomplete cirrhosis were 51.4%, 6.9%, and 1.4%, respectively. Conclusions: ALT level is a poor indicator of liver disease activity in patients with CHC. Patients with indication for treatment should be evaluated for liver biopsy. | en_US |
dc.identifier.doi | 10.5152/kd.2012.06 | |
dc.identifier.endpage | 23 | en_US |
dc.identifier.issn | 1301-143X | |
dc.identifier.issn | 1309-1484 | |
dc.identifier.issue | 1 | en_US |
dc.identifier.scopus | 2-s2.0-84866390881 | |
dc.identifier.scopusquality | Q4 | |
dc.identifier.startpage | 19 | en_US |
dc.identifier.uri | https://doi.org/10.5152/kd.2012.06 | |
dc.identifier.uri | https://hdl.handle.net/11468/19984 | |
dc.identifier.volume | 25 | en_US |
dc.identifier.wos | WOS:000420928300006 | |
dc.identifier.wosquality | N/A | |
dc.indekslendigikaynak | Web of Science | |
dc.indekslendigikaynak | Scopus | |
dc.language.iso | tr | en_US |
dc.publisher | Aves | en_US |
dc.relation.ispartof | Klimik Journal | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Hepatitis C Virus | en_US |
dc.subject | Alanine Transaminase | en_US |
dc.subject | Histology | en_US |
dc.subject | Chronic Liver Disease | en_US |
dc.title | Liver Histology of Patients with Hepatitis C Virus Infection and Normal Alanine Aminotransferase Levels | en_US |
dc.title | Liver Histology of Patients with Hepatitis C Virus Infection and Normal Alanine Aminotransferase Levels | |
dc.type | Article | en_US |