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Hepatitis C Infection as a Systemic Disease:Extra-HepaticManifestation of Hepatitis C, An Issue of Clinics in Liver Disease, E-Book

Hepatitis C Infection as a Systemic Disease:Extra-HepaticManifestation of Hepatitis C, An Issue of Clinics in Liver Disease, E-Book

Zobair M. Younossi

(2017)

Additional Information

Abstract

Dr. Younossi is a highly-esteemed expert in Hepatitis C Virus (HCV), and for the first time in Clinics in Liver Disease, he has compiled articles that specifically address the extrahepatic manifestation of HCV. Articles are specifically devoted to the following topics: Hepatitis C: A Systemic Disease; Rheumatologic Manifestations of HCV; Cardiovascular Manifestations on HCV; Metabolic Manifestations of HCV (DM, Dyslipidemia); Renal Manifestations of HCV; Lymphoproliferative Disorders Associated with HCV; Depression and HCV; Neurologic Manifestations of HCV; Non-HCC Malignancies in HCV; Dermatologic Manifestations of HCV; Fatigue and Patient-reported Outcomes in HCV; Economic Burden of HCV; and Endocrine Manifestations of HCV (non-dabetes). The thorough coverage of systemic issues will give clinicians the information they need to effectively manage the HCV patient with other health issues.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Hepatitis C Infection as aSystemic Disease: Extra-HepaticManifestation of Hepatitis C\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITOR iii
AUTHORS iii
Contents vii
Preface vii
Hepatitis C Infection: A Systemic Disease vii
Rheumatologic Manifestations of Hepatitis C Virus Infection vii
Cardiovascular Manifestations of Hepatitis C Virus vii
Metabolic Manifestations of Hepatitis C Virus: Diabetes Mellitus, Dyslipidemia viii
Renal Manifestations of Hepatitis C Virus viii
Hepatitis C Virus–Associated Non-Hodgkin Lymphomas: Biology, Epidemiology, and Treatment viii
Chronic Hepatitis C Virus Infection and Depression viii
Neurologic Manifestations of Hepatitis C Virus Infection ix
Hepatitis C and Risk of Nonhepatic Malignancies ix
Dermatologic Manifestations of Chronic Hepatitis C Infection ix
Patient-Reported Outcomes and Fatigue in Patients with Chronic Hepatitis C Infection x
Economic Burden of Hepatitis C Infection x
Extrahepatic Manifestations of Hepatitis C Virus After Liver Transplantation x
Other Extrahepatic Manifestations of Hepatitis C Virus Infection (Pulmonary, Idiopathic Thrombocytopenic Purpura, Nondiabet ... x
Treatment of Extrahepatic Manifestations of Hepatitis C Virus xi
CLINICS IN LIVER DISEASE\r xii
FORTHCOMING ISSUES xii
November 2017 xii
February 2018 xii
May 2018 xii
RECENT ISSUES xii
May 2017 xii
February 2017 xii
November 2016 xii
Preface xiii
Hepatitis C Infection 449
Key points 449
REFERENCES 450
Rheumatologic Manifestations of Hepatitis C Virus Infection 455
Key points 455
HEPATITIS C VIRUS AND ARTHRALGIA/MYALGIA 456
HEPATITIS C VIRUS–RELATED MIXED CRYOGLOBULINEMIA VASCULITIS 456
HEPATITIS C VIRUS AND SICCA SYNDROME 456
HEPATITIS C VIRUS AND FIBROMYALGIA/FATIGUE 457
HEPATITIS C VIRUS AND THE PRODUCTION OF AUTOANTIBODIES 457
UNDERLYING MECHANISMS LEADING TO RHEUMATOLOGIC MANIFESTATIONS IN HEPATITIS C VIRUS–INFECTED PATIENTS 457
IMPACT OF HEPATITIS C VIRUS INFECTION ON RHEUMATOLOGIC DISEASES 458
INCREASED CARDIOMETABOLIC MORBIDITY AND MORTALITY IN HEPATITIS C VIRUS–INFECTED PATIENTS 458
TREATMENT OF HEPATITIS C VIRUS INFECTION AND ASSOCIATED RHEUMATOLOGIC MANIFESTATIONS 459
SUMMARY 460
REFERENCES 460
Cardiovascular Manifestations of Hepatitis C Virus 465
Key points 465
INTRODUCTION 465
HEPATITIS C VIRUS AND CARDIOVASCULAR MORTALITY 467
HEPATITIS C VIRUS AND SPECIFIC CARDIOVASCULAR DISEASE MANIFESTATIONS 467
Hepatitis C Virus Infection and Carotid Atherosclerosis 467
Hepatitis C Virus Infection and Cerebrovascular Events 468
Hepatitis C Virus Infection and Coronary Artery Disease 468
HEPATITIS C VIRUS INFECTION AND INSULIN RESISTANCE 469
IMPACT OF HEPATITIS C VIRUS SUSTAINED VIROLOGICAL RESPONSE ON CARDIOVASCULAR DISEASE 469
PATHOGENESIS OF HEPATITIS C VIRUS–INDUCED CARDIOVASCULAR INJURY 470
SUMMARY 471
REFERENCES 471
Metabolic Manifestations of Hepatitis C Virus 475
Key points 475
HEPATITIS C VIRUS, LIPID METABOLISM, AND HEPATIC STEATOSIS 476
Hepatitis C Virus–Related Steatosis: Prevalence and Risk Factors 476
Pathogenic Mechanisms of Hepatitis C Virus–Related Steatosis 476
HEPATITIS C VIRUS, TYPE 2 DIABETES, AND INSULIN RESISTANCE 477
Prevalence and Risk Factors 477
Mechanisms of Hepatitis C Virus–Induced Insulin Resistance 480
Hepatitis C virus effects on insulin signaling pathway in the liver 480
Proinflammatory cytokines and hepatitis C virus–mediated insulin resistance 480
Reactive oxygen species and hepatitis C virus–mediated insulin resistance 481
Incretin and hepatitis C virus–mediated insulin resistance 481
Effect of hepatitis C virus on pancreatic ß-cells 481
REFERENCES 482
Renal Manifestations of Hepatitis C Virus 487
Key points 487
INTRODUCTION 487
HEPATIATIS C VIRUS–ASSOCIATED RENAL DISEASE 489
Histopathologic Features 489
Etiopathogenesis 489
Clinical Aspects 491
Isolated hepatitis C virus–related renal disease 491
Renal involvement plus other hepatitis C virus extrahepatic manifestations 491
Renal involvement and cryoglobulinemic vasculitis 492
Renal dysfunction in hepatitis C virus–related liver cirrhosis 493
DIAGNOSIS 493
PROGNOSIS 493
TREATMENT 494
REFERENCES 496
Hepatitis C Virus–Associated Non-Hodgkin Lymphomas 499
Key points 499
INTRODUCTION 499
BIOLOGY OF HEPATITIS C VIRUS–POSITIVE LYMPHOPROLIFERATIVE DISORDERS 500
THE EPIDEMIOLOGY OF HEPATITIS C VIRUS–NON-HODGKIN LYMPHOMA 503
THE TREATMENT OF HEPATITIS C VIRUS–ASSOCIATED NON-HODGKIN LYMPHOMA 504
REFERENCES 508
Chronic Hepatitis C Virus Infection and Depression 517
Key points 517
INTRODUCTION 517
HEPATITIS C VIRUS AND DEPRESSION 518
EPIDEMIOLOGY OF DEPRESSION IN CHRONIC HEPATITIS C VIRUS–POSITIVE PATIENTS 519
DEPRESSION AND IMPACT ON QUALITY OF LIFE AND CLINICAL MANAGEMENT OF PATIENTS WITH HEPATITIS C VIRUS 520
MECHANISMS INVOLVED IN HEPATITIS C VIRUS–ASSOCIATED DEPRESSION 522
THERAPEUTIC APPROACHES 524
SUMMARY AND PERSPECTIVES 525
REFERENCES 526
Neurologic Manifestations of Hepatitis C Virus Infection 535
Key points 535
INTRODUCTION 535
Cognitive Impairment: Pathophysiology 535
Cognitive impairment: clinical manifestations 536
Cognitive impairment and comorbidities 536
Cognitive impairment: electroencephalogram and imaging studies 537
Cognitive impairment and hepatitis C virus treatment 537
Interferon treatment 538
Direct-acting antiviral treatment ± ribavirin 538
Direct-acting antiviral treatment: no ribavirin 539
Hepatitis C virus and cerebrovascular disease 539
SUMMARY 540
REFERENCES 540
Hepatitis C and Risk of Nonhepatic Malignancies 543
Key points 543
INTRODUCTION 543
CHOLANGIOCARCINOMA 544
Biologic Mechanism 544
Epidemiologic Observations: Hepatitis C Virus–Cholangiocarcinomas Association 545
Summary 545
PANCREATIC ADENOCARCINOMA 545
Biologic Mechanism 545
Epidemiologic Observations: Hepatitis C Virus–Pancreatic Cancer Association 546
Summary 546
PAPILLARY THYROID CANCER 546
Biologic Mechanism 546
Epidemiologic Evidence: Hepatitis C Virus–Papillary Thyroid Cancer 547
Summary 547
ORAL SQUAMOUS CELL CANCER 547
Biologic Mechanism 548
Epidemiologic Evidence: Hepatitis C Virus–Oral Squamous Cell Cancer Association 548
Summary 548
RENAL CELL CARCINOMA/KIDNEY CANCER 549
Biologic Mechanism 549
Epidemiologic Evidence: Hepatitis C Virus–Renal/Kidney Cancer Association 549
Summary 550
OVERALL SUMMARY 550
REFERENCES 550
Dermatologic Manifestations of Chronic Hepatitis C Infection 555
Key points 555
INTRODUCTION 555
MIXED CRYOGLOBULINEMIA 556
LICHEN PLANUS 557
PORPHYRIA CUTANEA TARDA 558
OTHER DERMATOLOGIC ENTITIES 559
Psoriasis 559
Necrolytic Acral Erythema 560
Pruritus 560
SUMMARY 560
REFERENCES 561
Patient-Reported Outcomes and Fatigue in Patients with Chronic Hepatitis C Infection 565
Key points 565
INTRODUCTION 565
Definition of Fatigue 566
HOW COMMON IS FATIGUE? 566
MANIFESTATIONS OF FATIGUE 566
CLASSIFICATION OF FATIGUE 567
PERIPHERAL FATIGUE 568
CENTRAL FATIGUE 568
DIAGNOSTICS FOR FATIGUE 569
TREATMENT 570
IMPACT OF TREATMENT OF HEPATITIS C VIRUS 571
HEALTH-RELATED QUALITY OF LIFE 571
HEALTH-RELATED QUALITY OF LIFE BEFORE, DURING, AND AFTER TREATMENT 572
IMPACT OF DIFFERENT TREATMENT OPTIONS ON HEALTH-RELATED QUALITY OF LIFE 572
SUMMARY 573
REFERENCES 573
Economic Burden of Hepatitis C Infection 579
Key points 579
INTRODUCTION 579
ECONOMICS OF CHRONIC HEPATITIS C TREATMENT 580
THE COST OF HEPATITIS C VIRUS-RELATED LIVER DISEASE 582
ECONOMIC BURDEN OF THE EXTRAHEPATIC MANIFESTATIONS OF HEPATITIS C VIRUS 584
ECONOMIC BURDEN OWING TO WORK PRODUCTIVITY LOSSES IN HEPATITIS C VIRUS–INFECTED SUBJECTS 585
OTHER ASPECTS OF HEPATITIS C VIRUS ECONOMICS 586
SUMMARY 587
REFERENCES 587
Extrahepatic Manifestations of Hepatitis C Virus After Liver Transplantation 595
Key points 595
INTRODUCTION 595
METABOLIC ABNORMALITIES 596
LYMPHOPROLIFERATIVE DISORDERS 598
RENAL DISORDERS 599
MIXED CRYOGLOBULINEMIA 600
HEALTH-RELATED QUALITY OF LIFE 601
SUMMARY 601
REFERENCES 602
Other Extrahepatic Manifestations of Hepatitis C Virus Infection (Pulmonary, Idiopathic Thrombocytopenic Purpura, Nondiabet ... 607
Key points 607
INTRODUCTION 607
Pulmonary Manifestations of Hepatitis C Virus Infection 608
Lung function and obstructive lung diseases 608
Pulmonary hypertension 608
Lung transplantation 614
Lung cancer 614
Pulmonary embolism 615
Pulmonary fibrosis 615
Pulmonary sarcoidosis 615
Tuberculosis 616
Idiopathic Thrombocytopenic Purpura in Hepatitis C Virus–Infected Patients 616
Nondiabetic Endocrine Manifestations of Hepatitis C Virus Infection 618
Thyroid disease 618
Autoimmune thyroiditis 618
Thyroid cancer 623
Interaction with sexual hormones: Infertility, reproduction, menopause, and pregnancy 623
Adrenal insufficiency 624
Growth hormone and insulin-like growth factor 624
Bone health 624
SUMMARY 625
REFERENCES 625
Treatment of Extrahepatic Manifestations of Hepatitis C Virus 631
Key points 631
INTRODUCTION 632
MIXED CRYOGLOBULINEMIA 632
HEPATITIS C VIRUS–RELATED LYMPHOPROLIFERATIVE DISORDERS 634
HEPATITIS C VIRUS–RELATED RENAL DISEASE 637
TYPE 2 DIABETES AND CARDIOVASCULAR OUTCOMES 639
QUALITY OF LIFE AND NEUROCOGNITIVE FUNCTION 639
CUTANEOUS MANIFESTATIONS 640
SUMMARY 640
REFERENCES 640