Ukonu Agwu Bob, Augustine Uhunmwangho
University of Abuja Teaching Hospital Gwagwalada Abuja, Nigeria.
Glob J Health Sci. 2012 Aug 5;4(5):113-9. doi: 10.5539/gjhs.v4n5p113.
The relationship between hepatitis C virus and Lichen Planus have been widely reported in the literature; although there are wide geographical variations in the reported prevalence of hepatitis C virus infection in patients with lichen planus. This study seeks to determine the prevalence of hepatitis C virus among lichen planus patients and its clinical morphological type in the University of Abuja Teaching Hospital, Gwagwalada Abuja, Nigeria.
MATERIALS/METHODS: This study was conducted between January 2010 and December, 2011 at the out patients Dermatological unit of the department of medicine at the University of Abuja Teaching Hospital Gwagwalada Abuja, Nigeria. Consecutive patients who had body eruptions suspected to be lichen planus were recruited and histology done for confirmation. The control group included patients' relations and some dermatology patients known to have low risk of hepatitis C virus infection and liver function tests done for both subjects and control after obtaining oral consent from them to participate in the study.
Anti- HCV antibodies were detected in nine cases (21.4%) and one case (3.3%) in the control group. This was statistically significant difference between the HCV antibody among the subject and control group (P<0.038). Hypertrophic lichen planus was the most frequent clinical type. Liver function test was not statistically significant among the subject and control group.
Lichen planus and Hepatitis C virus appear to have a relationship and the prevalence rate was higher among the subject as compared to the control group in our environment.
丙型肝炎病毒与扁平苔藓之间的关系在文献中已有广泛报道;尽管报道的扁平苔藓患者丙型肝炎病毒感染患病率存在广泛的地域差异。本研究旨在确定尼日利亚阿布贾瓜瓜瓦拉达阿布贾大学教学医院扁平苔藓患者中丙型肝炎病毒的患病率及其临床形态类型。
材料/方法:本研究于2010年1月至2011年12月在尼日利亚阿布贾瓜瓜瓦拉达阿布贾大学教学医院医学部门诊皮肤科进行。招募疑似患有扁平苔藓皮疹的连续患者,并进行组织学检查以确诊。对照组包括患者家属以及一些已知丙型肝炎病毒感染风险较低的皮肤科患者,在获得他们参与研究的口头同意后,对研究对象和对照组均进行肝功能检查。
研究对象中有9例(21.4%)检测出抗HCV抗体,对照组中有1例(3.3%)检测出抗HCV抗体。研究对象与对照组之间的HCV抗体存在统计学显著差异(P<0.038)。肥厚性扁平苔藓是最常见的临床类型。研究对象与对照组之间的肝功能检查无统计学显著差异。
在我们的研究环境中,扁平苔藓与丙型肝炎病毒似乎存在关联,且研究对象中的患病率高于对照组。