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Published on: July 8, 2020
[Microalbuminuria and renal insufficiency in chronic hepatitis C virus infection]
Sami Aoufi Rabih1, Rebeca García Agudo, José María Tenías Burillo
1Servicio de Aparato Digestivo, Complejo Hospitalario La Mancha-Centro, Alcázar de San Juan, Ciudad Real, Spain. samiaoufi@hotmail.com
Insights
Chronic hepatitis C virus (HCV) infection significantly increases the risk of kidney damage, including microalbuminuria and renal insufficiency. This risk is independent of other common conditions like hypertension and diabetes.
Area of Science:
- Nephrology
- Hepatology
- Infectious Diseases
Context:
- Chronic hepatitis C virus (HCV) infection is a known cause of glomerular disease.
- Renal manifestations of HCV include proteinuria and potential renal dysfunction.
Purpose:
- To determine the prevalence of HCV-associated renal injury.
- To identify risk factors for HCV-related kidney damage.
Summary:
- An observational study of 120 HCV-positive patients and 145 controls found higher rates of microalbuminuria (19.3% vs 10.5%) and renal insufficiency (11.7% vs 0.7%) in HCV-positive individuals.
- HCV infection was independently associated with worsening renal function, with risk increasing with age.
- Renal injury signs were present in 26.1% of HCV-positive patients versus 11.8% of controls.
Impact:
- HCV-positive patients exhibit a significantly higher prevalence of kidney abnormalities.
- HCV-associated renal insufficiency risk is not influenced by hypertension or diabetes.
- Highlights the importance of renal monitoring in HCV patients.
Introduction:
Chronic hepatitis C virus (HCV) infection is associated with glomerular disease, which is manifested by proteinuria with or without renal dysfunction.
Method:
To determine the prevalence of HCV-associated renal injury and associated risk factors, we performed an observational, analytic, cross-sectional study of 120 HCV-positive patients and 145 HCV-negative controls. Data were gathered from medical records and history-taking and at least three blood and urine analyses were performed over a 1-year period. Renal insufficiency was defined as an estimated glomerular filtration rate of less than 60ml/min/1.73 m2 and/or microalbuminuria of more than 20mg/l or a microalbumin/creatinine ratio higher than 30 mcg/mg.
Results:
The prevalence of microalbuminuria and renal insufficiency was 19.3% and 11.7% in HCV-positive patients versus 10.5% and 0.7% in HCV-negative controls (p 0.04), respectively. A total of 26.1% of HCV-positive patients had signs of renal injury compared with 11.8% of HCV-negative controls (p 0.003). HCV infection was independently and significantly associated with the probability of worsening of renal function. The prevalence of microalbuminuria and renal insufficiency progressively increased with greater age.
Conclusion:
HCV-positive patients show a high prevalence of microalbuminuria and renal insufficiency compared with HCV-negative individuals. The risk of HCV-associated renal insufficiency is independent of the presence of other predisposing factors such hypertension and diabetes.
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