TREATMENT OF CHRONIC DELTA HEPATITIS: A NINE-YEAR RETROSPECTIVE ANALYSIS

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GULSUN SERDA; TEKIN RECEP; BOZKURT FATMA

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Paper Information

Journal: Hepatitis Monthly Year:2011 | Volume:11 | Issue:9 (38) Page(s): 731-735

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Title

TREATMENT OF CHRONIC DELTA HEPATITIS: A NINE-YEAR RETROSPECTIVE ANALYSIS

Author(s)

GULSUN SERDA | TEKIN RECEP | BOZKURT FATMA | Issue Writer Certificate

Keywords

CHRONIC DELTA HEPATITIS

PEGYLATED INTERFERON

TREATMENT

Abstract

Background: CHRONIC DELTA HEPATITIS is the most severe form of viral hepatitis, for which interferon administration is the only available TREATMENT. However, the efficacy of interferon TREATMENT is affected by the dose and duration of TREATMENT, and relapse rates are high.Objectives: In this study, we sought to evaluate the efficacy of TREATMENT with PEGYLATED INTERFERON and observe the relapse rates of delta hepatitis after TREATMENT.Patients and Methods: Forty-six patients with CHRONIC DELTA HEPATITIS were retrospectively studied between January 2002 and December 2010. Patients were evaluated for biochemical, virological, and histological responses. They were then followed-up for at least 1 year after discontinuation of the TREATMENT.Results: All the 46 patients in the study received PEG-IFN therapy. Of the 46 patients, 25 were treated with PEG-IFN for 1 year and 21 were treated for 2 years. Sixteen patients (34.7%) showed a biochemical response, 27 (58.6%) showed a virological response, and 39 (84.7%) showed a histological response. Sustained virological and biochemical responses were achieved in 41% and 47.8% of the patients, respectively. Sixteen (84.2%) patients of the 19 with high levels of hepatitis delta virus RNA (HDV RNA) (HDV RNA level>1 × 105) and 10 (71.4%) of the 14 patients with high titers of hepatitis B surface antigen (HbsAg) (HbsAg>102 IU/mL) at the beginning of the TREATMENT showed relapse after TREATMENT.Conclusions: We found no significant differences between 1-year and 2-year TREATMENTs.However, the relapse rate was lower in the 2-year TREATMENT group. Higher HDV RNA and HbsAg levels before TREATMENT were associated with higher relapse rates. Younger age was a significant factor in predicting response.

Cites

PEGYLATED INTERFERON α THERAPY IN CHRONIC DELTA HEPATITIS: A ONE-CENTER EXPERIENCE

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APA: Copy

GULSUN, SERDA, TEKIN, RECEP, & BOZKURT, FATMA. (2011). TREATMENT OF CHRONIC DELTA HEPATITIS: A NINE-YEAR RETROSPECTIVE ANALYSIS. HEPATITIS MONTHLY, 11(9 (38)), 731-735. SID. https://sid.ir/paper/306456/en

Vancouver: Copy

GULSUN SERDA, TEKIN RECEP, BOZKURT FATMA. TREATMENT OF CHRONIC DELTA HEPATITIS: A NINE-YEAR RETROSPECTIVE ANALYSIS. HEPATITIS MONTHLY[Internet]. 2011;11(9 (38)):731-735. Available from: https://sid.ir/paper/306456/en

IEEE: Copy

SERDA GULSUN, RECEP TEKIN, and FATMA BOZKURT, “TREATMENT OF CHRONIC DELTA HEPATITIS: A NINE-YEAR RETROSPECTIVE ANALYSIS,” HEPATITIS MONTHLY, vol. 11, no. 9 (38), pp. 731–735, 2011, [Online]. Available: https://sid.ir/paper/306456/en

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