Extrahepatic Manifestations of Chronic Viral C Hepatitis

Gastroenterol Clin North Am. 2020 Jun;49(2):347-360. doi: 10.1016/j.gtc.2020.01.012. Epub 2020 Mar 29.

Abstract

Hepatits C virus (HCV) infection has been largely associated with extrahepatic comorbidities such as diseases related to dysregulation of the immune system, neuropsychiatric disorders, and cardiometabolic alterations. These clinical consequences, together with experimental evidence, suggest a potential (in)direct effect of HCV, contributing to the pathogenesis of these diseases. Various studies have reported a positive effect of viral eradication on occurrence and outcomes of extrahepatic diseases. These observations and the availability of safe and effective direct antiviral agents further underline the need to search for virological eradication in all infected individuals independent of the severity of the liver disease.

Keywords: Cardiovascular disease; Diabetes; Extrahepatic complications; HCV; Immune-related disorders; Kidney disease.

Publication types

  • Review

MeSH terms

  • Antiviral Agents / therapeutic use*
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control
  • Cohort Studies
  • Cross-Sectional Studies
  • Cryoglobulinemia / etiology
  • Cryoglobulinemia / prevention & control
  • Hepatitis C, Chronic / complications
  • Hepatitis C, Chronic / drug therapy*
  • Hepatitis C, Chronic / epidemiology
  • Lymphoma, Non-Hodgkin / etiology
  • Lymphoma, Non-Hodgkin / prevention & control
  • Mental Disorders / etiology
  • Mental Disorders / prevention & control
  • Risk
  • Sustained Virologic Response

Substances

  • Antiviral Agents