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* Service d'Hépatogastroentérologie, Hôpital Cochin, Paris;
Faculté Réné Descartes, Paris 5, France
Correspondence to: Romain Coriat, Service d'Hépatogastroentérologie, Hôpital Cochin, 27, rue du faubourg Saint-Jacques, Paris 75014, France Email: romain.coriat{at}cch.ap-hop-paris.fr
Hepatitis C (HCV) treatment using interferon-
(IFN-
) and ribavirin is recommended in HIV/HCV co-infected patients to prevent liver cirrhosis and liver-related death. However, in addition to its antiviral activity, IFN is a pleiotropic cytokine able to synergistically amplify T-cell autoreactivity.
Here, we report for the first time the induction of a subfulminant autoimmune hepatitis (AIH) after four months of a successful treatment of HCV-1b infection using peg-IFN and ribavirin, in a 48-year-old woman co-infected with HIV. Diagnosis was assessed according to the international AIH scoring system, including liver biopsy and confirmed by positive response to steroid challenge.
Key Words: human immunodeficiency virus hepatitis C viral disease
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E. Vispo, I. Maida, A. Moreno, P. Barreiro, and V. Soriano Autoimmune hepatitis induced by pegylated interferon in an HIV-infected patient with chronic hepatitis C J. Antimicrob. Chemother., December 1, 2008; 62(6): 1470 - 1472. [Full Text] [PDF] |
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