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10.3748/wjg.v9.i7.1487

http://scihub22266oqcxt.onion/10.3748/wjg.v9.i7.1487
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C4615488!4615488!12854147
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suck abstract from ncbi


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pmid12854147      World+J+Gastroenterol 2003 ; 9 (7): 1487-90
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  • Gastric autoimmune disorders in patients with chronic hepatitis C before, during and after interferon-alpha therapy #MMPMID12854147
  • Fabbri C; Jaboli MF; Giovanelli S; Azzaroli F; Pezzoli A; Accogli E; Liva S; Nigro G; Miracolo A; Festi D; Colecchia A; Montagnani M; Roda E; Mazzella G
  • World J Gastroenterol 2003[Jul]; 9 (7): 1487-90 PMID12854147show ga
  • AIM: To explore the prevalence of autoimmune gastritis in chronic hepatitis C virus (HCV) patients and the influence of a-interferon (IFN) treatment on autoimmune gastritis.METHODS: We performed a prospective study on 189 patients with positive anti-HCV and viral RNA enrolled in a 12-month IFN protocol. We evaluated: a) the baseline prevalence of autoimmune gastritis, b) the impact of IFN treatment on development of biochemical signs of autoimmune gastritis (at 3, 6 and 12 mo), c) the evolution after IFN withdrawal (12 mo) in terms of anti-gastric-parietal-cell antibodies (APCA), gastrin, anti-thyroid, and anti-non-organ-specific antibodies.RESULTS: APCA positivity and 3-fold gastrin levels were detected in 3 (1.6%) and 9 (5%) patients, respectively, at baseline, in 25 (13%) and 31 (16%) patients at the end of treatment (both P < 0.001, vs baseline), and in 7 (4%) and 14 (7%) patients 12 mo after withdrawal (P = 0.002 and P = 0.01 respectively, vs baseline; P = not significant vs end of treatment). The development of autoimmune gastritis was strictly associated with the presence of autoimmune thyroiditis (P = 0.0001), no relationship was found with other markers of autoimmunity.CONCLUSION: In HCV patients, IFN frequently precipitates latent autoimmune gastritis, particularly in females. Following our 12-month protocol, the phenomenon generally regressed. Since APCA positivity and high gastrin levels are associated with the presence of antithyroid antibodies, development of autoimmune thyroiditis during IFN treatment may provide a surrogate preliminary indicator of possible autoimmune gastritis to limit the need for invasive examinations.
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