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[爱泼斯坦-巴尔病毒感染以及乙型和丙型肝炎在肝脏病理学中的作用。]

[The role of Epstein-Barr viral infection and hepatitis B and C in liver pathology.].

作者信息

Solomay T V, Semenenko T A, Ivanova M Y

机构信息

Interregional Department № 1, Moscow, 123182, Russia.

National Research Centre for Epidemiology and Microbiology named after the honorary academician N.F. Gamaleya, Moscow, 123098, Russia.

出版信息

Vopr Virusol. 2019;64(5):215-220. doi: 10.36233/0507-4088-2019-64-5-215-220.

Abstract

A review of scientific literature data on clinical and epidemiological characterization of viral hepatitis B, C and Epstein-Barr viral infection is presented. Scopus, Web of Science, MedLine, The Cochrane Library, PubMed, CyberLeninka, RSCI databases were used to find the necessary literature. It was shown that Epstein-Barr virus along with hepatitis B and C viruses plays a significant role in the development of virus-mediated autoimmune liver diseases, as well as other organs (intestine, heart, kidneys, thyroid gland, etc.). The similarity of these nosologies is also evident in the nature of the course of the disease: the presence of a primary infection in a manifest or latent form, with possible subsequent chronization of the process and its periodic reactivation. Wide distribution of pathogens in the human population determines the possibility of mixed infections with Epstein-Barr virus and hepatitis B and C viruses, however, this problem has not been adequately described in the scientific literature. The review suggests that the role of Epstein-Barr virus in the development of liver diseases and extrahepatic pathology should not be ignored, and the combination of this pathogen with hepatitis B and C viruses required further in-depth studies.

摘要

本文对乙型、丙型病毒性肝炎及爱泼斯坦-巴尔病毒感染的临床和流行病学特征的科学文献数据进行了综述。利用Scopus、科学网、医学在线、考克兰图书馆、PubMed、CyberLeninka、俄罗斯科学引文索引数据库查找相关文献。结果表明,爱泼斯坦-巴尔病毒与乙型和丙型肝炎病毒一样,在病毒介导的自身免疫性肝病以及其他器官(肠道、心脏、肾脏、甲状腺等)的发病过程中发挥着重要作用。这些疾病在病程性质上也具有相似性:存在显性或潜伏形式的原发性感染,随后病情可能会慢性化并周期性复发。病原体在人群中的广泛传播决定了存在爱泼斯坦-巴尔病毒与乙型和丙型肝炎病毒混合感染的可能性,然而,这一问题在科学文献中尚未得到充分描述。该综述表明,爱泼斯坦-巴尔病毒在肝病和肝外病理学发展中的作用不应被忽视,这种病原体与乙型和丙型肝炎病毒的组合需要进一步深入研究。

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