Frequency of thyroid disorders during interferon and ribavirin therapy in chronic hepatitis C infection.
OBJECTIVE
The objective of this study was to assess the frequency of thyroid dysfunction in response to combination of interferon and ribavirin therapy in chronic hepatitis C (CHC) patients and HCV outcome.


METHODS
Descriptive study.


METHODS
This study was conducted at Outpatient Department of Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad from September 2005 to September 2007.


METHODS
One hundred cases of CHC, proven by anti-HCV and HCV RNA-positive with baseline TSH, FT4 and FT3 within the normal reference range, who were treated with interferon alpha-2b (3 million unit subcutaneously three times per week) and oral ribavirin (1000-1200 mg per day) were included in this study. All patients were assessed for TSH, FT4, FT3 levels at 12 weeks and 24 weeks during therapy.


RESULTS
Among the 100 patients, overt thyroid disease developed in 13 (13%) and sub-clinical thyroid disease in 5 (5%). Out of 13 patients of overt thyroid disorders, 11 (84.6%) had hypothyroidism and 02 (15.3%) hyperthyroidism. Four (80%) patients were of sub-clinical hypothyroidism and 01 (20%) patient was of sub-clinical hyperthyroidism. Overall, thyroid disorders developed in 18 (18%) both as overt and sub-clinical thyroid disorders. Ninety one (91%) patients became negative by HCV RNA.


CONCLUSIONS
Treatment of HCV with IFN-alpha and ribavirin can be safely continued in patients with over and sub clinical hypothyroidism because thyroid disease responds well to treatment.
Masood
Naila
N
Department of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad. nailamasood3@yahoo.com
Ghori
Rafi
R
Memon
Anwar
A
Memon
Sadik
S
Memon
Karam Illahi
KI
Memon
Iqbal
I
Jaffri
Mukhtiar
M
Baloch
Ghulam Hussain
GH