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[Curative short term treatment of chronic viral C hepatitis]
Thierry Coton1, René Delpy, Eric Garnotel
1Service de gastroenterologie, HIA Laveran, Marseille (13). gastro@hia-laveran.fr
Introduction:
Chronic viral C hepatitis can be cured by shorter treatment than recommended. It is illustrated by our two case reports.
Cases:
We report two cases of chronic viral C hepatitis cured by short therapy with interferon standard alone in one case and the combination of pegylated-interferon and ribavirin in the second case. Genotype was undetermined for one patient and 3a for the other.
Discussion:
Excepted genotyping and early testing of viral load decrease during treatment (12th week), we lack early predictive factors of sustained response that could help avoid prolonged, poorly tolerated therapy in future non-responders. These observations show that the treatment duration of chronic viral C hepatitis can be shortened in selected patients, who should be identified as soon as possible after the beginning of the treatment.
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Assessment:
