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11285

Study of Vitamin D Level in Cirrhotic HCV Patients before and after Transplantation

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Last updated: 24 Dec 2024

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Abstract

Background: chronic hepatitis C is a common condition. Transfusion of blood or blood-related products was one of the main routes of HCV transmission. Furthermore, nosocomial infections represent a key source of infection, particularly in some of the high-prevalence countries (such as Egypt, Pakistan and Eastern Europe). In general, prevalence increases with increasing age until peak prevalence at 55–64 years in most regions. At least six HCV genotypes are known, Genotype 4 frequency is the highest from Central Africa to the Middle East. Worldwide people infected with HCV are at an increased risk of developing serious hepatic complications including cirrhosis and hepatocellular carcinoma. Aim of the Work: the aim of this work is to study vitamin D level in post HCV liver cirrhosis patients before and six months after liver transplantation in addition to chronic HCV patients without cirrhosis. Patients and Methods: this prospective case control study was conducted on 25 patients. 15 of them with liver cirrhosis due to chronic hepatitis C virus evaluated before and six months after liver transplantation in addition to 10 chronic HCV patients without cirrhosis as control group. Liver cirrhosis or transplantation patients were recruited from Ain Shams specialized hospital liver transplantation unit and chronic HCV patients without cirrhosis were recruited from hepatology outpatient clinic of Ain Shams university hospital in the period from February 2017 to November 2017. Symptoms suggestive of liver disease (e.g. jaundice, bleeding    tendency, increased abdominal girth). Results: this study was conducted on 25 patients. 15 of them with liver cirrhosis due to chronic hepatitis C virus evaluated before and six months after liver transplantation in addition to 10 chronic HCV patients without cirrhosis as control group. Group I: Consists of 15 (60%) patients with post HCV liver cirrhosis before liver transplantation. They were 13 males (86.6%) & 2 females (13.3%). Their mean age was 50.53 ± 4.52. Group IΙ: Consists of the same patients of group I evaluated six months post liver transplantation. Group III: Consists of 10 (40%) patients with chronic HCV without cirrhosis. They were 6 males (60%) & 4 females (40%). Their mean age was 53.0 ± 8.46. Conclusion: this study concluded that vitamin D deficiency is prevalent among patients with liver cirrhosis. Liver transplantation improves vitamin D level but not to the recommended normal level i.e. vitamin D deficiency or insufficiency can persist after transplantation.

DOI

10.21608/ejhm.2018.11285

Keywords

Vitamin D Level, Cirrhotic HCV Patients, Endoscopic Retrograde Cholangio Pancreatography

Authors

First Name

Amira Ahmed

Last Name

Salem

MiddleName

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Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

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City

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Orcid

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First Name

Wael Ahmed

Last Name

Yousry

MiddleName

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Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Ghada Abd El-Rahman

Last Name

Ahmed

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Hussein Salah Eldin Ibrahim

Last Name

Omar

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Ain Shams University

Email

hussein.salaheldin@yahoo.com

City

-

Orcid

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Volume

72

Article Issue

10

Related Issue

2135

Issue Date

2018-07-01

Receive Date

2018-08-17

Publish Date

2018-07-01

Page Start

5,391

Page End

5,395

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11285.html

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https://ejhm.journals.ekb.eg/service?article_code=11285

Order

8

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Study of Vitamin D Level in Cirrhotic HCV Patients before and after Transplantation

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Type

Article

Created At

22 Jan 2023