Euroasian Journal of Hepato-Gastroenterology

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VOLUME 10 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Prediction of Cirrhosis in Patients with Chronic Hepatitis C by Genotype 3

Tarana Gupta, Hari K Aggarwal, Sandeep Goyal, Virendra Singh

Keywords : Cirrhosis, Fibrosis, Genotype, Transient elastography,Chronic hepatitis C

Citation Information : Gupta T, Aggarwal HK, Goyal S, Singh V. Prediction of Cirrhosis in Patients with Chronic Hepatitis C by Genotype 3. Euroasian J Hepatogastroenterol 2020; 10 (1):7-10.

DOI: 10.5005/jp-journals-10018-1311

License: CC BY-NC 4.0

Published Online: 00-06-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Genotype 3 increases fibrosis in chronic hepatitis C (CHC). Aim: To evaluate the effect of the hepatitis C virus (HCV) genotype on prevalence and severity of liver disease in CHC. Materials and methods: Nine hundred and forty-nine individuals with positive anti-HCV from June 2016 to May 2017 were enrolled in the study. We compared biochemical and hematological parameters, HCV RNA load, transient elastography, and ultrasound, in genotype 3 and nongenotype 3 patients. Cirrhosis was diagnosed in patients with liver stiffness measurement (LSM) ≥13 kPa. Results: Out of 835 CHC patients, overall, genotype 3 had higher LSM (11.3 vs 7.62, p = 0.01), higher aspartate aminotransferase (AST) (88.4 vs 68.6, p = 0.02), and low platelets (228.4 vs 261, p = 0.03) with higher prevalence of cirrhosis (115/415 vs 25/245, p = 0.01) than nongenotype 3. However, decompensation rates were not significantly different between two groups (32/115 vs 7/25, p = 0.98). The subgroup analysis revealed that cirrhotic genotype 3 had advanced age (50 vs 35, p < 0.01), male predominance, and higher AST (74.4 vs 57, p = 0.01) as compared to noncirrhotic genotype 3 patients. On multivariate analysis, age and AST values were higher in cirrhotic than noncirrhotic genotype 3 patients. Conclusion: Genotype 3 patients have higher prevalence of cirrhosis and fibrosis compared to nongenotype 3 patients; however, decompensation was not different between two groups.


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