The oncogenic effect of hepatitis C lasts beyond the disease's Eradication

ABSTRACT Hepatitis C virus (HCV) is widely prevalent worldwide, with an estimated 180 million people infected. Its manifestations are not limited to hepatic disease, as it has widely known immunomodulator and oncogenic effects. Most HCV associated autoimmune and lymphoproliferative diseases have been shown to subside after successful antiviral treatment. However, viral eradication doesn't always equal lymphoma cure. In some cases, the oncogenic effect lasts well beyond viral elimination. Although the new direct anti-viral agents (DAA) have proved to be safe and effective in treating HCV (with sustained viral responses of 91-95%), this treatment has inherent toxicities. Further, immunologic manifestations of HCV-associated diseases, when present, may require broad immunosuppression in association with the antiviral treatment. We present a case that illustrates the complexities of treating these viral mediated immunologic and lymphoproliferative diseases

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Main Authors: Cerqueira,Sofia, Teixeira,Catarina, Afonso,Nuno, Castro,Rui, Morgado,Teresa, Alves,Rui
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Nefrologia 2019
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000300007
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spelling oai:scielo:S0872-016920190003000072019-11-25The oncogenic effect of hepatitis C lasts beyond the disease's EradicationCerqueira,SofiaTeixeira,CatarinaAfonso,NunoCastro,RuiMorgado,TeresaAlves,Rui cryoglobulinemia hepatitis C virus lymphoma onconephrology ABSTRACT Hepatitis C virus (HCV) is widely prevalent worldwide, with an estimated 180 million people infected. Its manifestations are not limited to hepatic disease, as it has widely known immunomodulator and oncogenic effects. Most HCV associated autoimmune and lymphoproliferative diseases have been shown to subside after successful antiviral treatment. However, viral eradication doesn't always equal lymphoma cure. In some cases, the oncogenic effect lasts well beyond viral elimination. Although the new direct anti-viral agents (DAA) have proved to be safe and effective in treating HCV (with sustained viral responses of 91-95%), this treatment has inherent toxicities. Further, immunologic manifestations of HCV-associated diseases, when present, may require broad immunosuppression in association with the antiviral treatment. We present a case that illustrates the complexities of treating these viral mediated immunologic and lymphoproliferative diseasesinfo:eu-repo/semantics/openAccessSociedade Portuguesa de NefrologiaPortuguese Journal of Nephrology & Hypertension v.33 n.3 20192019-09-01info:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000300007en10.32932/pjnh.2019.10.037
institution SCIELO
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country Portugal
countrycode PT
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region Europa del Sur
libraryname SciELO
language English
format Digital
author Cerqueira,Sofia
Teixeira,Catarina
Afonso,Nuno
Castro,Rui
Morgado,Teresa
Alves,Rui
spellingShingle Cerqueira,Sofia
Teixeira,Catarina
Afonso,Nuno
Castro,Rui
Morgado,Teresa
Alves,Rui
The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
author_facet Cerqueira,Sofia
Teixeira,Catarina
Afonso,Nuno
Castro,Rui
Morgado,Teresa
Alves,Rui
author_sort Cerqueira,Sofia
title The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
title_short The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
title_full The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
title_fullStr The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
title_full_unstemmed The oncogenic effect of hepatitis C lasts beyond the disease's Eradication
title_sort oncogenic effect of hepatitis c lasts beyond the disease's eradication
description ABSTRACT Hepatitis C virus (HCV) is widely prevalent worldwide, with an estimated 180 million people infected. Its manifestations are not limited to hepatic disease, as it has widely known immunomodulator and oncogenic effects. Most HCV associated autoimmune and lymphoproliferative diseases have been shown to subside after successful antiviral treatment. However, viral eradication doesn't always equal lymphoma cure. In some cases, the oncogenic effect lasts well beyond viral elimination. Although the new direct anti-viral agents (DAA) have proved to be safe and effective in treating HCV (with sustained viral responses of 91-95%), this treatment has inherent toxicities. Further, immunologic manifestations of HCV-associated diseases, when present, may require broad immunosuppression in association with the antiviral treatment. We present a case that illustrates the complexities of treating these viral mediated immunologic and lymphoproliferative diseases
publisher Sociedade Portuguesa de Nefrologia
publishDate 2019
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692019000300007
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