Abstract

CERQUEIRA, Sofia et al. The oncogenic effect of hepatitis C lasts beyond the disease's Eradication. Port J Nephrol Hypert [online]. 2019, vol.33, n.3, pp.182-183. ISSN 0872-0169.  https://doi.org/10.32932/pjnh.2019.10.037.

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

Keywords : cryoglobulinemia; hepatitis C virus; lymphoma; onconephrology.

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