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Hepatitis C Virus-related Mixed Cryoglobulinemia: Pathogenesis, Clinica Manifestations, and New Therapies
Neal J Schamberg1, Gerond V Lake-Bakaar
1Dr. Schamberg is a fellow in the Division of Gastroenterology and Hepatology at the New York Presbyterian Hospital Cornell Campus in New York, where Dr. Lake-Bakaar is an Associate Attending Physician. Dr. Lake-Bakaar is also an Associate Professor of Medicine at the Joan and Sanford I. Weill Medical College of Cornell University in New York.
Abstract:
Within the past decade, it has been recognized that a majority of patients with essential mixed cryoglobulinemia (MC) are chronically infected with hepatitis C virus (HCV). Although the underlying mechanisms have not been fully elucidated, cryoglobulin formation is clearly linked to the attempt of the host to clear the significant quantities of virions generated daily by the chronic infection. This review summarizes the current understanding of the relationship between chronic HCV infection and the development of MC, and discusses the interaction between the immune system and HCV and how this interaction can lead to the development of lymphoproliferative disorders.
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