Journal article
Viral eradication restores normal iron status in chronic hepatitis C patients with abnormal iron studies
Annals of hepatology, Vol.19(4), pp.422-426
07/01/2020
DOI: 10.1016/j.aohep.2020.03.002
PMID: 32278667
Abstract
Introduction and objectives: Abnormal serum iron studies are seen in a third or more of patients with chronic hepatitis C infection (HCV), where they have been linked to accelerated fibrosis progression and increased risk of hepatocellular carcinoma and sometimes lead to concern for coexisting hereditary hemochromatosis. The aim of this study was to assess the effect of HCV eradication in patients with abnormal serum iron studies prior to treatment with direct-acting antiviral agents (DAAs).
Patients: HCV-infected subjects with iron studies obtained before and after successful treatment with DAAs were identified (n=27). All had one or more abnormal iron test before treatment.
Results: Following HCV eradication, serum iron, transferrin-iron saturation and ferritin levels decreased significantly (pre- versus post-treatment, p<0.01 for each). Serum iron and/or transferrin-iron saturations normalized in 16/19 subjects and raised ferritin levels returned to the normal range in 14/18 subjects, including several with pretreatment transferrin-iron saturation >90% and/or serum ferritin >1000 ng/mL. Elimination of HCV infection was associated with a significant reduction in post-treatment ferritin levels even among subjects whose ferritin levels were within normal limits at baseline. Risk factors for other conditions associated with abnormal iron status were present in the few cases in which iron studies failed to normalize following DAA treatment.
Conclusions: Eradication of HCV infection restores normal iron status in most patients with abnormal iron tests, including those whose baseline parameters are suggestive of hemochromatosis. (C) 2020 Fundacion Clinica Medica Sur, A.C. Published by Elsevier Espana, S.L.U.
Details
- Title: Subtitle
- Viral eradication restores normal iron status in chronic hepatitis C patients with abnormal iron studies
- Creators
- Yazan Hasan - Roy J. and Lucille A. Carver College of MedicineKyle Brown - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Annals of hepatology, Vol.19(4), pp.422-426
- DOI
- 10.1016/j.aohep.2020.03.002
- PMID
- 32278667
- NLM abbreviation
- Ann Hepatol
- ISSN
- 1665-2681
- eISSN
- 2659-5982
- Publisher
- Elsevier
- Number of pages
- 5
- Language
- English
- Date published
- 07/01/2020
- Academic Unit
- Gastroenterology and Hepatology; Radiation Oncology; Internal Medicine
- Record Identifier
- 9984312963302771
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