Clinical features of vascular disorders associated with chronic hepatitis virus infection.
Hepatitis virus infections can be accompanied by extrahepatic manifestations that may be caused by the host's immune reaction to the viral infection. Vascular involvement is one of these manifestations and is occasionally associated with life-threatening conditions due to systemic organ failure. The unique profile of hepatitis-related vascular involvement is associated with infection by different types of hepatitis viruses. For example, polyarteritis nodosa is more frequently reported in patients with chronic hepatitis B than those with chronic hepatitis C. Similarly, membranous nephropathy is a notable manifestation among hepatitis B virus-positive patients. In contrast, patients infected with hepatitis C virus are at risk for cryoglobulinemia and membranoproliferative glomerulonephritis. Antiviral therapy is necessary to control these kinds of vasculitis related to hepatitis virus infections; however, immunosuppressive agents may be required to treat severe cases. New antiviral drugs for viral hepatitis could improve the prognosis of vascular and renal involvement.
Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine, Osaka-Sayama, Japan.
Naoshi
N
Nishida
Masatoshi
M
Kudo
D015897:Comorbidity; D003449:Cryoglobulinemia / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006509:Hepatitis B / Q000175:diagnosis / Q000453:epidemiology*; D006526:Hepatitis C / Q000175:diagnosis / Q000453:epidemiology*; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis / Q000453:epidemiology; D008297:Male; D010488:Polyarteritis Nodosa / Q000175:diagnosis / Q000453:epidemiology; D015995:Prevalence; D011379:Prognosis; D014652:Vascular Diseases / Q000175:diagnosis* / Q000453:epidemiology*