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口腔扁平苔藓作为戊型病毒性肝炎的一种肝外表现——印度亚人群的评估

Oral Lichen Planus as an Extra-hepatic Manifestation of Viral Hepatitis-Evaluation in Indian Subpopulation.

作者信息

Kumar K P Mohan, Jois Harshavardhan S, Hallikerimath Seema, Kale Alka D

机构信息

Assistant Professor, Department of Oral Pathology, College of Dental Sciences , Davangere, Karnataka, India .

出版信息

J Clin Diagn Res. 2013 Sep;7(9):2068-9. doi: 10.7860/JCDR/2013/5731.3407. Epub 2013 Jul 19.

Abstract

BACKGROUND

Oral Lichen Planus (OLP) is considered to be associated with numerous systemic conditions one of which includes Chronic Liver Disease (CLD). Hepatitis virus B and C (HBV and HCV) have known to be important causative agents of CLD and can be prevalent in asymptomatic carriers that can make them difficult to identify. Off late, the association of viral hepatitis with OLP has been a subject of controversy due to conflicting reports. Indian studies on this regard are sparse to evaluate the same. Association between the hepatitis virus and OLP, if present and established, can be of great help to format a protocol for identifying carrier states of viral hepatitis due to HBV and HCV.

METHODOLOGY

Forty five cases of clinically and histologically confirmed OLP were subjected to a serological screening of hepatitis B and C viruses by detection of hepatitis B surface antigen and anti-hepatitis C virus antibodies.

RESULTS

None of OLP cases were seropositive for the hepatitis viruses.

CONCLUSION

We could not demonstrate any association between OLP and viral hepatitis. This could be attributed to lower prevalence of hepatitis viruses compared to the countries hyper endemic for these viruses or genotypic variation of the viruses or other etiological factors contributing for the present group of patients.

摘要

背景

口腔扁平苔藓(OLP)被认为与多种全身性疾病有关,其中包括慢性肝病(CLD)。已知乙型和丙型肝炎病毒(HBV和HCV)是CLD的重要致病因素,且在无症状携带者中普遍存在,这使得它们难以被识别。近来,由于相互矛盾的报道,病毒性肝炎与OLP之间的关联一直存在争议。印度在这方面的研究很少,无法对此进行评估。如果存在并确定肝炎病毒与OLP之间的关联,将有助于制定识别由HBV和HCV引起的病毒性肝炎携带者状态的方案。

方法

对45例临床和组织学确诊的OLP患者进行血清学筛查,通过检测乙肝表面抗原和抗丙型肝炎病毒抗体来检测乙型和丙型肝炎病毒。

结果

所有OLP病例的肝炎病毒血清学检测均为阴性。

结论

我们未能证明OLP与病毒性肝炎之间存在任何关联。这可能是由于与这些病毒高度流行的国家相比,肝炎病毒的流行率较低,或者是病毒的基因变异,或者是导致本患者群体发病的其他病因。

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