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Metabolic Dysfunction-Associated Steatotic Liver Disease After Hepatitis C Virus Cure
Chung-Feng Huang1,2,3,4, Jee-Fu Huang1,2,3,4, Ming-Lung Yu1,2,3,4
1Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
None:
Hepatitis C virus (HCV) infection is an infectious disease carrying a high risk of metabolic disorders. Chronic HCV (CHC) patients can possess extrahepatic manifestations such as diabetes, steatotic liver disease (SLD), and other metabolic alterations. Hepatic steatosis, which is triggered by insulin resistance or the direct insult of a specific genotype, is commonly observed in CHC. The changes in SLD after HCV eradication by direct-acting antivirals (DAAs) present a significant impact on patient outcomes. We reviewed the changes in cardiometabolic risk factors (CMRFs) and the evolution of CMRFs items in CHC patients with SLD after HCV cure. The reassessment of CMRFs after the successful eradication of HCV is an essential task for primary care providers. CHC patients could benefit from appropriate management of both infectious and metabolic disorders in terms of liver and nonliver related outcomes.
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