Demirci Gulsen Tukenmez, Aydingoz Ikbal Esen, Mansur Ayse Tulin, Atis Guldehan, Altunay Ilknur Kivanc
Istanbul Hospital, Faculty of Medicine, Baskent University, Istanbul, Turkey.
Faculty of Medicine, Acibadem University, Istanbul, Turkey.
An Bras Dermatol. 2014 May-Jun;89(3):423-6. doi: 10.1590/abd1806-4841.20142566.
Previous studies have shown that some viral infections may be triggers for autoimmune diseases. The role of viral infections in the etiopathogenesis of pemphigus has also been investigated.
To investigate the relationship between pemphigus and the hepatitis B and C virus infections.
This retrospective study included 62 patients with pemphigus and 50 healthy controls of matching ages and genders. The control group included relatives who accompanied the orthopedic patients to the hospital but had no history of systemic and/or autoimmune diseases.
The group of patients with pemphigus was composed of 43 (69.3%) females and 19 (29.7%) males, and the mean age was 48.08 ± 15.38. The hepatitis C virus antibody was negative in all of the patients. Hepatitis B surface antigen (HBsAg), hepatitis B surface antibody (HBsAb), or both, were studied in 44 of the 62 patients. Two (4.3%) of these patients were positive for HBsAg and found to have HBV infection. Fourteen of them were HBsAb positive. Two (4%) of the 50 control subjects showed hepatitis C virus antibody positivity, while only 1 (2%) patient with pemphigus displayed HBsAg positivity. There was no statistically significant difference between the two groups for hepatitis B and C virus infections.
This study does not support an association between pemphigus and hepatitis B and/or C virus infections.
既往研究表明,某些病毒感染可能是自身免疫性疾病的触发因素。病毒感染在天疱疮发病机制中的作用也已得到研究。
探讨天疱疮与乙型和丙型肝炎病毒感染之间的关系。
这项回顾性研究纳入了62例天疱疮患者和50例年龄及性别匹配的健康对照者。对照组包括陪同骨科患者到医院但无全身和/或自身免疫性疾病病史的亲属。
天疱疮患者组由43名(69.3%)女性和19名(29.7%)男性组成,平均年龄为48.08±15.38岁。所有患者的丙型肝炎病毒抗体均为阴性。62例患者中的44例研究了乙型肝炎表面抗原(HBsAg)、乙型肝炎表面抗体(HBsAb)或两者。其中2例(4.3%)患者HBsAg阳性,被发现感染了HBV。其中14例HBsAb阳性。50名对照者中有2例(4%)丙型肝炎病毒抗体阳性,而天疱疮患者中只有1例(2%)HBsAg阳性。两组在乙型和丙型肝炎病毒感染方面无统计学显著差异。
本研究不支持天疱疮与乙型和/或丙型肝炎病毒感染之间存在关联。