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泰国口腔扁平苔藓患者的丙型肝炎病毒感染

Hepatitis C virus infection in Thai patients with oral lichen planus.

作者信息

Klanrit P, Thongprasom K, Rojanawatsirivej S, Theamboonlers A, Poovorawan Y

机构信息

Department of Oral Diagnosis, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.

出版信息

Oral Dis. 2003 Nov;9(6):292-7. doi: 10.1034/j.1601-0825.2003.00955.x.

Abstract

OBJECTIVE

Many studies focusing on the association between hepatitis C virus (HCV) infection and oral lichen planus (OLP) have been conducted. Diversities of geographical locations could be a major factor influencing the prevalence of HCV. This study was aimed to define whether there was a relationship between the OLP and HCV infection in Thailand.

MATERIALS AND METHODS

Serum samples of 60 patients (with OLP) and 60 controls (without OLP), whose age and gender were matched, were respectively screened for anti-HCV by ELISA (third generation), and reverse transcription polymerase chain reaction (RT-PCR) for HCV-RNA.

RESULTS

We found five patients (8.33%) with OLP infected with HCV: three patients were positive for both anti-HCV and HCV-RNA; one patient was only positive for anti-HCV; and one patient was only positive for HCV-RNA; whereas all the controls were negative for both anti-HCV and HCV-RNA (P=0.029). Three of five cases of OLP with HCV infection had histories of blood transfusions over 10 years ago.

CONCLUSION

The present study reports a small, but statistically significant high prevalence of HCV infection among patients with OLP, although the underlying mechanism still remains unknown.

摘要

目的

已经开展了许多聚焦于丙型肝炎病毒(HCV)感染与口腔扁平苔藓(OLP)之间关联的研究。地理位置的差异可能是影响HCV流行率的一个主要因素。本研究旨在确定在泰国OLP与HCV感染之间是否存在关联。

材料与方法

分别通过酶联免疫吸附测定法(第三代)对60例(患有OLP)和60例对照(未患OLP)年龄和性别相匹配的患者血清样本进行抗HCV筛查,并采用逆转录聚合酶链反应(RT-PCR)检测HCV-RNA。

结果

我们发现5例(8.33%)患有OLP的患者感染了HCV:3例患者抗HCV和HCV-RNA均呈阳性;1例患者仅抗HCV呈阳性;1例患者仅HCV-RNA呈阳性;而所有对照的抗HCV和HCV-RNA均为阴性(P=0.029)。5例感染HCV的OLP病例中有3例有10多年前的输血史。

结论

本研究报告了患有OLP的患者中HCV感染率虽低但具有统计学意义的高流行率,尽管其潜在机制仍不明。

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