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Frequency of HCV infection in different dermatological disorders
Atiya Rahman1, Syed Dilawar Abbas Rizvi2, Zafar Iqbal Sheikh2
1Department of Dermatology, Combined Military Hospital, Malir Cantt, Karachi, Pakistan. atiya_rahman7@yahoo.com
Insights
Hepatitis C Virus (HCV) infection is more common in patients with certain skin conditions like lichen planus and porphyria cutanea tarda. However, conditions such as leukocytoclastic vasculitis showed no association with HCV.
Area of Science:
- Hepatology
- Dermatology
- Infectious Diseases
Background:
- Hepatitis C Virus (HCV) affects approximately 3% of the global population, with higher prevalence noted in Pakistan.
- Dermatological disorders are sometimes linked to HCV infection, necessitating further investigation into these associations.
Purpose of the Study:
- To investigate the frequency of Hepatitis C Virus (HCV) infection among patients presenting with various dermatological disorders.
- To identify specific skin conditions associated with a higher prevalence of HCV.
Main Methods:
- A descriptive study was conducted from September 2003 to November 2005.
- 355 patients with specific dermatological disorders were enrolled from Military Hospital, Rawalpindi, and PNS Shifa, Karachi.
- Hepatitis C Virus (HCV) infection status was determined by detecting anti-HCV antibodies using third-generation ELISA.
Main Results:
- HCV infection was found in 14% of lichen planus, 8% of generalized pruritus, 7.8% of urticaria, 8.7% of prurigo, and 50% of porphyria cutanea tarda patients.
- No anti-HCV antibodies were detected in patients with leukocytoclastic vasculitis, erythema multiforme, or erythema nodosum.
- No cases of mixed cryoglobulinemia or polyarteritis nodosa were observed during the study period.
Conclusions:
- Patients with lichen planus, generalized pruritus, urticaria, prurigo, and porphyria cutanea tarda exhibit a higher frequency of HCV infection compared to the general population in Pakistan.
- Leukocytoclastic vasculitis, erythema multiforme, and erythema nodosum were not associated with HCV infection in this study cohort.
Background:
Hepatitis C Virus (HCV) has estimated affected nearly 3% of the world population. Studies in Pakistan have shown a somewhat higher prevalence. The objective of this study was to determine the frequency of hepatitis C virus infection in patients with dermatological disorders, known to be associated with HCV infection.
Method:
This was a descriptive study, conducted at Departments of Dermatology, Military Hospital, Rawalpindi and PNS Shifa, Karachi from September 2003 to November 2005. There were 355 patients of the dermatologic disorders mentioned above. HCV status was determined by the presence of anti-HCV antibodies in the serum, by third generation ELISA.
Results:
In this study 14% of lichen planus, 8% of generalised pruritus, 7.8% of urticaria, 8.7% of prurigo, and 50% of porphyria cutanea tarda patients had underlying HCV infection. None of the patients of leukocytoclastic vasculitis, erythema multiforme or erythema nodosum had anti-HCV antibodies. No patient of mixed cryoglobulinaemia or polyarteritis nodosa was seen during the study period.
Conclusions:
Patients of lichen planus, generalised pruritus, urticaria, prurigo, and porphyria cutanea tarda have increased frequency of HCV infection compared to normal population of our country. In contrast, none of the patients of leukocytoclastic vasculitis, erythema multiforme or erythema nodosum had HCV infection.
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