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A comparison of hepatitis B viral markers of patients in different clinical stages of chronic infection

机译:慢性感染不同临床阶段患者乙肝病毒标志物的比较

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PurposeHepatitis B viral markers may be useful for predicting outcomes such as liver-related deaths or development of hepatocellular carcinoma. We determined the frequency of these markers in different clinical stages of chronic hepatitis B infection.Methods We compared baseline hepatitis B viral markers in 317 patients who were enrolled in a prospective study and identified the frequency of these tests in immune-tolerant (IT) patients, in inactive carriers, and in patients with either hepatitis B e antigen (HBeAg)-positive or HBeAg-negative chronic hepatitis or cirrhosis.Results IT patients were youngest (median age 27?years) and HBeAg-negative patients with cirrhosis were oldest (median age 58?years) (p?=?0.03 to <0.0001). The male to female ratio was similar both in IT patients and in inactive carriers, but there was a male preponderance both in patients with chronic hepatitis and in patients with cirrhosis (p?
机译:目的乙型肝炎病毒标志物可用于预测结局,例如与肝脏相关的死亡或肝细胞癌的发展。我们确定了在慢性乙型肝炎感染的不同临床阶段中这些标志物的频率。方法我们比较了前瞻性研究中的317例患者的基线乙型肝炎病毒标志物,并确定了免疫耐受(IT)患者中这些检查的频率,无活动携带者,乙型肝炎e抗原(HBeAg)阳性或HBeAg阴性的慢性肝炎或肝硬化患者。结果IT患者最年轻(中位年龄为27岁),HBeAg阴性肝硬化患者最老(中位年龄58岁)(p?=?0.03至<0.0001)。在IT患者和不活动的携带者中,男女比例相似,但在慢性肝炎和肝硬化患者中,男性占多数(p 0.0001)。 A1896 precore突变体在非活动携带者中占最高比例(36.4%),在慢性乙型肝炎的HBeAg阴性患者中占38.8%; p 0.0001; T1762 / A1764基础核心启动子突变体在HBeAg阴性中最常见。肝硬化患者(65.1%; p?=?0.02)。仅在5.3%的IT患者中检测到基因型A,而在慢性乙型肝炎和肝硬化的HBeAg阳性患者中,基因型B的检出率最低(p = 0.03)。乙型肝炎病毒DNA水平在非活动携带者中最低(2.69?log10?IU / mL),在IT患者中最高(6.80?log10?IU / mL; p?= 0.02至<0.0001)。随访中,HBeAg阳性和HBeAg阴性的肝硬化患者占64例与肝有关的死亡中的57例(89.1%)(p?<?0.0001)。结论不同临床患者的基线乙型肝炎病毒标志物存在差异乙肝病毒感染的各个阶段。肝硬化的HBeAg阳性和HBeAg阴性患者占大多数与肝有关的死亡。

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