Cohen P
Service de Médecine interne, Hôpital Avicenne, Bobigny.
Presse Med. 2000 Feb 5;29(4):209-14.
Extrahepatic manifestations of the hepatitis C virus (HCV) have been reported in a large body of literature. It is now generally accepted that the HCV is strongly associated with so-called essential cryoglobulinemia, membrane proliferative glomerulonephritis with or without cryoglobulinemia, sporadic porphyria cutanea tarda, and with lymphocyte sialadenitis with or without a dry mouth syndrome. PROBABLE ASSOCIATIONS: Several epidemiological arguments suggest that HCV could play a role in certain types of non-Hodgkin lymphomas. HCV is also sometimes implicated in periarteritis nodosa and with peripheral neuropathies with lymphocyte vasculitis. UNPROVEN ASSOCIATIONS: The role of HCV in autoimmune dysthyroidism, lichen planus, diabetics mellitus, and antiphospholipid syndromes is a subject of debate. There have also many sporadic reports of manifestations of syndromes suggesting, though not proving, an association with the hepatitis C virus.
大量文献报道了丙型肝炎病毒(HCV)的肝外表现。目前普遍认为,HCV与所谓的原发性冷球蛋白血症、伴或不伴冷球蛋白血症的膜增生性肾小球肾炎、散发性迟发性皮肤卟啉病以及伴或不伴口干综合征的淋巴细胞性涎腺炎密切相关。可能的关联:多项流行病学证据表明,HCV可能在某些类型的非霍奇金淋巴瘤中起作用。HCV有时也与结节性多动脉炎以及伴淋巴细胞性血管炎的周围神经病变有关。未经证实的关联:HCV在自身免疫性甲状腺功能减退症、扁平苔藓、糖尿病和抗磷脂综合征中的作用仍存在争议。也有许多散发性报道提示(但未证实)某些综合征的表现与丙型肝炎病毒有关。