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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
|
pubmed:dateCreated |
1993-11-23
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pubmed:abstractText |
The pattern of hepatitis C virus (HCV) serum markers and liver disease was investigated in 11 leukemic children showing anti-HCV reactivity at least once during long-term observation to define the role of HCV infection and the behavior of HCV serologic markers in this patient cohort. Antibodies to HCV by first- and second-generation enzyme-linked immunosorbent assay (ELISA) and by second-generation (four antigens) recombinant immunoblotting assay (RIBA) and HCV-RNA by nested polymerase chain reaction (PCR) were serially examined in serum. Liver disease was defined according to transaminase levels. Seven of 11 patients were found HCV-RNA positive during chemotherapy and after blood transfusion, 3 of 11 became viremic during follow-up, and 1 of 11 was always HCV-RNA negative. Seroconversion to anti-HCV positivity by second-generation ELISA occurred in all the HCV-RNA positive children either during or after chemotherapy. Alanine aminotransferase (ALT) levels were elevated in all the HCV-RNA positive patients during antileukemic treatment and normalized in seven of them after therapy withdrawal, despite persisting viremia. These results indicate that HCV-RNA testing by polymerase chain reaction is required to correctly identify HCV infection in patients with leukemia while on chemotherapy. Viremia did not correlate with ALT levels and anti-HCV patterns.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
|
pubmed:volume |
82
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
2564-7
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7691264-Alanine Transaminase,
pubmed-meshheading:7691264-Base Sequence,
pubmed-meshheading:7691264-Child,
pubmed-meshheading:7691264-Child, Preschool,
pubmed-meshheading:7691264-Hepacivirus,
pubmed-meshheading:7691264-Hepatitis Antibodies,
pubmed-meshheading:7691264-Hepatitis C,
pubmed-meshheading:7691264-Hepatitis C Antibodies,
pubmed-meshheading:7691264-Humans,
pubmed-meshheading:7691264-Leukemia,
pubmed-meshheading:7691264-Liver Diseases,
pubmed-meshheading:7691264-Molecular Sequence Data,
pubmed-meshheading:7691264-RNA, Viral
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pubmed:year |
1993
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pubmed:articleTitle |
Hepatitis C virus serum markers and liver disease in children with leukemia during and after chemotherapy.
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pubmed:affiliation |
Division of Pediatric Hematology, University of Milano, Monza, Italy.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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