Priora Marta, Borrelli Richard, Parisi Simone, Ditto Maria Chiara, Realmuto Cristina, Laganà Angela, Centanaro Di Vittorio Chiara, Degiovanni Rosanna, Peroni Clara Lisa, Fusaro Enrico
Department of General and Specialistic Medicine, Rheumatology Clinic, Hospital of Mondovì, 12084 Cuneo, Italy.
Rheumatology Unit, Department of General and Specialistic Medicine, Azienda Ospedaliero Universitaria Città Della Salute e Della Scienza di Torino, 10126 Turin, Italy.
Biology (Basel). 2021 Oct 20;10(11):1071. doi: 10.3390/biology10111071.
HCV is a virus that can cause chronic infection which can result in a systemic disease that may include many rheumatologic manifestations such as arthritis, myalgia, sicca syndrome, cryoglobulinemia vasculitis as well as other non-rheumatological disorders (renal failure, onco-haematological malignancies). In this population, the high frequency of rheumatoid factor (45-70%), antinuclear (10-40%) and anticardiolipin (15-20%) antibodies is a B-cell mediated finding sustained by the infection. However, the possibility that a primitive rheumatic pathology may coexist with the HCV infection is not to be excluded thus complicating a differential diagnosis between primitive and HCV-related disorders.
丙型肝炎病毒(HCV)是一种可导致慢性感染的病毒,这种慢性感染会引发一种全身性疾病,该疾病可能包括许多风湿性表现,如关节炎、肌痛、干燥综合征、冷球蛋白血症性血管炎以及其他非风湿性疾病(肾衰竭、肿瘤血液学恶性肿瘤)。在这一人群中,类风湿因子(45%-70%)、抗核抗体(10%-40%)和抗心磷脂抗体(15%-20%)的高频率出现是由感染导致的B细胞介导的结果。然而,不能排除原发性风湿性疾病可能与HCV感染并存的可能性,这使得原发性疾病和HCV相关疾病之间的鉴别诊断变得复杂。