Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100117 |
Resumo: | Abstract In addition to liver disease, the hepatitis C virus (HCV) has been associated with autoimmune phenomena, such as mixed cryoglobulin and glomerulonephritis (GN). Until recently, both chronic hepatitis and HCV extra-hepatic manifestations were treated with peg-interferon plus ribavirin, however these drugs presented low efficacy and induced severe side effects. Nowadays, the HCV chronic hepatitis has been treated with direct acting antivirals (DAA), but studies on the DAA therapy for HCV-associated glomerulonephritis are scarce. Here, we describe two cases of HCV-associated glomerulonephritis that were treated with DAAs. In these two cases, previously experienced to peg-interferon plus ribavirin, the sofosbuvir plus simeprevir therapy was effective, without significant side effects, and interrupted the evolution of at least 20 years of both hepatic and renal diseases. These cases join the seven previously described cases that were treated with this DAAs association. |
id |
SBN-1_1d9e640d44f78ee32eafab233e6e7715 |
---|---|
oai_identifier_str |
oai:scielo:S0101-28002021000100117 |
network_acronym_str |
SBN-1 |
network_name_str |
Jornal Brasileiro de Nefrologia |
repository_id_str |
|
spelling |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapyHepacivirusGlomerulonephritisSofosbuvirSimeprevirCryoglobulinemiaAbstract In addition to liver disease, the hepatitis C virus (HCV) has been associated with autoimmune phenomena, such as mixed cryoglobulin and glomerulonephritis (GN). Until recently, both chronic hepatitis and HCV extra-hepatic manifestations were treated with peg-interferon plus ribavirin, however these drugs presented low efficacy and induced severe side effects. Nowadays, the HCV chronic hepatitis has been treated with direct acting antivirals (DAA), but studies on the DAA therapy for HCV-associated glomerulonephritis are scarce. Here, we describe two cases of HCV-associated glomerulonephritis that were treated with DAAs. In these two cases, previously experienced to peg-interferon plus ribavirin, the sofosbuvir plus simeprevir therapy was effective, without significant side effects, and interrupted the evolution of at least 20 years of both hepatic and renal diseases. These cases join the seven previously described cases that were treated with this DAAs association.Sociedade Brasileira de Nefrologia2021-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100117Brazilian Journal of Nephrology v.43 n.1 2021reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2019-0165info:eu-repo/semantics/openAccessArruda,Raissa MBatista,Andrea DFilgueira,Norma AMoura,Izolda FSette,Luis HLopes,Edmundo Peng2021-05-10T00:00:00Zoai:scielo:S0101-28002021000100117Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2021-05-10T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
title |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
spellingShingle |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy Arruda,Raissa M Hepacivirus Glomerulonephritis Sofosbuvir Simeprevir Cryoglobulinemia |
title_short |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
title_full |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
title_fullStr |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
title_full_unstemmed |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
title_sort |
Remission of long-term hepatic and renal disease induced by HCV after direct-acting antivirals therapy |
author |
Arruda,Raissa M |
author_facet |
Arruda,Raissa M Batista,Andrea D Filgueira,Norma A Moura,Izolda F Sette,Luis H Lopes,Edmundo P |
author_role |
author |
author2 |
Batista,Andrea D Filgueira,Norma A Moura,Izolda F Sette,Luis H Lopes,Edmundo P |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Arruda,Raissa M Batista,Andrea D Filgueira,Norma A Moura,Izolda F Sette,Luis H Lopes,Edmundo P |
dc.subject.por.fl_str_mv |
Hepacivirus Glomerulonephritis Sofosbuvir Simeprevir Cryoglobulinemia |
topic |
Hepacivirus Glomerulonephritis Sofosbuvir Simeprevir Cryoglobulinemia |
description |
Abstract In addition to liver disease, the hepatitis C virus (HCV) has been associated with autoimmune phenomena, such as mixed cryoglobulin and glomerulonephritis (GN). Until recently, both chronic hepatitis and HCV extra-hepatic manifestations were treated with peg-interferon plus ribavirin, however these drugs presented low efficacy and induced severe side effects. Nowadays, the HCV chronic hepatitis has been treated with direct acting antivirals (DAA), but studies on the DAA therapy for HCV-associated glomerulonephritis are scarce. Here, we describe two cases of HCV-associated glomerulonephritis that were treated with DAAs. In these two cases, previously experienced to peg-interferon plus ribavirin, the sofosbuvir plus simeprevir therapy was effective, without significant side effects, and interrupted the evolution of at least 20 years of both hepatic and renal diseases. These cases join the seven previously described cases that were treated with this DAAs association. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100117 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100117 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2019-0165 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.43 n.1 2021 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122066532827136 |