- Poster presentation
- Open access
- Published:
A cohort study in the assessment of liver fibrosis and markers of disease progression in hepatitis B and D coinfection
BMC Infectious Diseases volume 13, Article number: P53 (2013)
Background
Given the important role played by hepatitis viruses in the development of liver fibrosis we consider it necessary to evaluate markers of disease progression and instruments for staging of fibrosis in patients coinfected with hepatitis B and D viruses (HBV, HDV).
Methods
We performed a cohort study to assess markers of disease progression and staging of liver fibrosis through noninvasive tests at three different time points over the course of HBV and HDV coinfection.
Results
We assessed data from 64 patients (of which 27 were males - 42%) with a median age of 54±14 (range: 23 to 64 years). The median fibrosis was 0.44±0.23 and the median necroinflammatory activity was 0.54±0.24.
The median FIB-4 score was 1.89±3.23 at the second visit versus 1.26±2.07 at the third visit. The median APRI score was 1.18±1.67 at the second visit compared to 1.79±2.53 at the third visit (p=0.05, 95%CI: 0.0389, 0.43681). Regression analysis showed a correlation between FibroTest (considered the gold standard in this study, in the absence of histology data from liver biopsy), FIB-4 (p=0.43) and APRI (p=0.011).
Conclusion
Periodic assessment of patients with viral hepatitis is needed, with close monitoring of fibrosis progression and liver function. Noninvasive markers and scores for liver fibrosis are yet to be validated for patients with HBV and HDV coinfection, but the data from this cohort of patients show promising results, with both APRI and FIB-4 positively correlating with FibroTest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( https://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated.
About this article
Cite this article
Al Aker, T.S., Streinu-Cercel, O., Streinu-Cercel, A. et al. A cohort study in the assessment of liver fibrosis and markers of disease progression in hepatitis B and D coinfection. BMC Infect Dis 13 (Suppl 1), P53 (2013). https://0-doi-org.brum.beds.ac.uk/10.1186/1471-2334-13-S1-P53
Published:
DOI: https://0-doi-org.brum.beds.ac.uk/10.1186/1471-2334-13-S1-P53