[An eight-year prospective study on 163 cases of hepatitis C].
To explore the characteristics of hepatitis C in China, one hundred and sixty three cases of hepatitis C were followed for 8 years. The rates of abnormal alanine aminotransferase (ALT) were 100%, 73%, 57%, 37% and 28% in less than one, 1, 2, 5 and 8 years after the onset respectively. Abnormality of ALT might be persistent or fluctuating, and the latter type accounted for about 1/3 to 1/2 of the cases. The positive rates of anti-hepatitis C virus (HCV) were 56%, 93%, 94%, 96%, 97%, 93% and 83% in less than two, 2-6, 7-12 months and 1, 2, 5 and 8 years after the onset respectively. Negative conversion of anti-HCV was found only in a few patients whose ALT had returned to normal level and the rates of negative conversion for them were 10%, 8%, 16%, and 22% in 1, 2, 5 and 8 years after the onset. Positive rate of HCV-RNA, detected with nested PCR 8 years after the onset was 84% for patients who still showed positive anti-HCV and there was no significant difference between patients with abnormal (80%) and normal ALT (85%) levels. Genotype II accounted for 93% of the cases. No patient developed hepatocellular carcinoma or decompensated cirrhosis after a follow-up of eight years.
Meng
Z
Z
Hebei Provincial Sanitary and Anti-Epidemic Station, Baoding.
Sun
Y
Y
Sun
D
D
D000293:Adolescent; D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D001483:Base Sequence; D005260:Female; D005500:Follow-Up Studies; D016174:Hepacivirus / Q000235:genetics / Q000276:immunology; D006526:Hepatitis C / Q000276:immunology / Q000821:virology; D018937:Hepatitis C Antibodies / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D016133:Polymerase Chain Reaction; D011446:Prospective Studies; D012367:RNA, Viral / Q000032:analysis
D018937:Hepatitis C Antibodies; D012367:RNA, Viral; D000410:Alanine Transaminase