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Published on: September 25, 2019
[Haematologic adverse effects of treatment of chronic viral hepatitis B and C]
Stefan Porubcin1, Ivan Schréter, Pavol Kristian
1Clinic of Infectious Diseases, Medical Faculty, Kosice, Slovak Republic. stefan.porubcin@fnlp.sk
Insights
This study found that while treatments for chronic hepatitis B and C (CHB and CHC) can cause mild hematologic side effects like anemia and low blood counts, they are generally safe for patients.
Area of Science:
- Hepatology
- Internal Medicine
- Pharmacology
Background:
- Chronic hepatitis B (CHB) and chronic hepatitis C (CHC) are significant global health concerns.
- Effective antiviral therapies are available but can be associated with adverse events.
Purpose of the Study:
- To investigate the incidence and severity of hematologic adverse effects in patients undergoing treatment for CHB and CHC.
- To assess the safety profile of different treatment regimens for these chronic liver diseases.
Main Methods:
- A cohort of 104 CHC and 74 CHB patients treated between 1994 and 2005 was analyzed.
- Patients were stratified by treatment type (interferon alpha, interferon alpha plus ribavirin, pegylated interferon alpha plus ribavirin) and sex.
- Hematologic parameters including hemoglobin, neutrophil, and platelet counts were monitored.
Main Results:
- Anemia occurred in 37.5% (IFN), 56.6% (IFN+RIB), 54.0% (PEG+RIB) of CHC patients, and 24.4% of CHB patients.
- Anemia was more frequent in women and in patients treated with ribavirin (55.5% vs. 27.9%).
- Neutropenia and thrombocytopenia were common across treatment groups, with no significant differences between CHC and CHB patients or specific regimens.
Conclusions:
- Treatments for CHB and CHC are associated with a high incidence of hematologic adverse effects, predominantly mild.
- Despite observed hematologic changes, the overall treatment appears safe from a hematologic complication standpoint.
Objective:
To determine the incidence and severity of adverse effects of treatment in patients with chronic hepatitis B and C (CHB and CHC).
Material And Methods:
A group of 104 patients with CHC and 74 CHB patients treated in 1994-2005 was evaluated. The patients were divided according to their treatment patterns and sex. Selected haematologic parameters (haemoglobin, neutrophil and platelet counts) were assessed.
Results:
In CHC patients treated with interferon alpha (IFN), IFN alpha and ribavirin (IFN+RIB) or pegylated IFN alpha with ribavirin (PEG+RIB), and in CHB patients, anaemia was observed in 6 (37.5 %), 43 (56.6 %), 27 (54.0 %) and 11 (24.4 %) cases, respectively. Anaemia was significantly more frequent in women treated with IFN(RIB or PEG+RIB +p > 0.01 and p > 0.005, respectively), and in those with CHB (p > 0.005). The difference in the incidence of anaemia in those treated with RIB and without RIB was statistically significant (55.5 vs. 27.9 %, respectively, p > 0,001). In CHC patients treated with IFN, IFN+RIB or PEG+RIB, and in CHB patients, neutropenia was observed in 9 (56.3 %), 51 (67.1 %), 36 (72.0 %) and 20 (44.4 %) cases, respectively. In women treated with IFN+RIB or PEG+RIB, neutropenia was significantly more frequent (p > 0.05). In CHC patients treated with IFN, IFN+RIB or PEG+RIB, and in CHB patients, thrombocytopenia was detected in 9 (56.3%), 41 (53.9 %), 35 (70.0 %) and 23 (51.1 %) cases, respectively. No significant difference was noted in the incidence of neutropenia and thrombocytopenia between the individual treatment patterns used in CHC or CHB patients. In two cases, the treatment was discontinued due to its adverse effects.
Conclusions:
The data confirm a high incidence of haematologic adverse effects, mostly mild. From the point of view of haematologic complications, the treatment may be classified as safe.
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