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Published on: June 26, 2020
Oral conditions associated with hepatitis C virus infection
Seyed-Moayed Alavian1, Nastaran Mahboobi, Nima Mahboobi
1Department of Gastroenterology and Hepatology, Baqiyatallah University of Medical Sciences, Research Center for Gastroenterology and Liver Disease, Tehran, Iran.
Insights
Hepatitis C virus (HCV) infection impacts millions globally. This review explores HCV
Area of Science:
- Hepatology
- Immunology
- Oral Medicine
Background:
- Hepatitis C virus (HCV) infection affects over 170 million people worldwide.
- HCV causes not only liver disease but also various extrahepatic manifestations.
- The link between HCV and specific oral conditions remains incompletely understood.
Purpose of the Study:
- To review the association between Hepatitis C virus infection and various oral conditions.
- To discuss the potential mechanisms underlying these oral manifestations.
- To highlight the importance of recognizing oral health issues in HCV patients.
Main Methods:
- Literature review of studies investigating Hepatitis C virus and oral conditions.
- Analysis of reported extrahepatic manifestations related to HCV.
- Synthesis of current understanding regarding oral health, Sjogren's syndrome, lichen planus, and oral cancer in the context of HCV.
Main Results:
- HCV infection is linked to several extrahepatic conditions, including immune-mediated diseases.
- Specific oral conditions, such as Sjogren's syndrome, lichen planus, and potentially oral cancer, have been recurrently associated with HCV.
- Therapeutic interventions for HCV may also present side effects impacting oral health.
Conclusions:
- Hepatitis C virus infection has significant systemic implications beyond liver disease.
- Recognizing and managing oral manifestations is crucial for comprehensive patient care in Hepatitis C.
- Further research is needed to elucidate the precise mechanisms linking HCV to oral conditions.
Abstract:
Hepatitis C virus (HCV) infection in more than 170 million chronically infected patients with no developed preventive vaccine is a globally important issue. In addition to expected hepatic manifestations, a number of extrahepatic manifestations, such as mixed cryoglobulinemia, glomerulonephritis, polyarteritis nodosa, rashes, renal disease, neuropathy, and lymphoma, have been reported following HCV infection, which are believed to be influenced by the virus or the host immune response. HCV combination therapy with pegylated interferon and ribavirin might be associated with side effects as well. The association of HCV with special oral conditions has also been reported recurrently; the mechanism of most of which remains unclear. This article reviews the association of HCV infection with some of the oral conditions such as oral health, Sjogren's syndrome, lichen planus and oral cancer.
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