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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1991-11-14
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pubmed:abstractText |
We evaluated the specificity and clinical relevance of anti-hepatitis C virus antibody positivity in 22 HBsAg-negative patients with autoimmune (anti-nuclear, anti-actin or anti-liver-kidney microsomal antibody positive) chronic active hepatitis. An ELISA anti-HCV test and a recombinant immunoblot assay (RIBA-HCV) were used. Thirteen patients (59%) were anti-HCV positive and five (23%) anti-HCV negative by both ELISA and RIBA-HCV tests. Four patients (18%) were borderline positive by ELISA (OD less than 1.0), and three of them (all with severe disease) were negative by RIBA. Histologic necroinflammation, AST/ALT and gamma-globulins levels were higher and response to prednisolone treatment was better in RIBA anti-HCV-negative than in anti-HCV-positive cases. We confirmed with both RIBA and ELISA tests the high prevalence of anti-HCV already reported by ELISA in anti-nuclear and anti-liver-kidney microsomal antibody positive chronic active hepatitis. False positive for anti-HCV (i.e., a positive ELISA test not confirmed by RIBA) occurred only among patients with severe disease. Since RIBA-negative subjects showed the best response to corticosteroid, they might represent the only subset of cases of 'true' autoimmune chronic active hepatitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0168-8278
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
56-60
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:1717543-Adrenal Cortex Hormones,
pubmed-meshheading:1717543-Adult,
pubmed-meshheading:1717543-Antibodies, Antinuclear,
pubmed-meshheading:1717543-Antibody Specificity,
pubmed-meshheading:1717543-Autoimmune Diseases,
pubmed-meshheading:1717543-Enzyme-Linked Immunosorbent Assay,
pubmed-meshheading:1717543-Female,
pubmed-meshheading:1717543-Hepatitis, Chronic,
pubmed-meshheading:1717543-Hepatitis Antibodies,
pubmed-meshheading:1717543-Hepatitis C,
pubmed-meshheading:1717543-Humans,
pubmed-meshheading:1717543-Immunoblotting,
pubmed-meshheading:1717543-Male,
pubmed-meshheading:1717543-Middle Aged,
pubmed-meshheading:1717543-Prevalence,
pubmed-meshheading:1717543-gamma-Globulins
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pubmed:year |
1991
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pubmed:articleTitle |
Is autoimmune chronic active hepatitis a HCV-related disease?
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pubmed:affiliation |
Clinica Medica R, University of Palermo, Italy.
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pubmed:publicationType |
Journal Article
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