Abstract
The long-term outcome of non-A, non-B post-transfusion hepatitis was evaluated in 21 patients who developed the illness after open-heart surgery and could be followed thereafter up to five years. Histological chronic sequelae were documented in 13 patients, and consisted of chronic persistent hepatitis in one case, chronic lobular hepatitis in two and chronic active hepatitis in 10, five of whom also developed superimposed cirrhosis. Progression to these chronic states was in most cases symptomless, independently of the severity of liver lesions; one patient, however, died of gastrointestinal bleeding due to cirrhosis of the liver. During follow-up the biochemical pattern of chronic non-A, non-B hepatitis was unique, while striking fluctuations of transaminase levels. Liver histology proved essential to identify the severity of chronic liver lesions, as clinical and biochemical features were uniform and not indicative of it. Our results suggest that cirrhosis may develop, often with an asymptomatic course, in a significant number of patients who do not recover after acute post-transfusion non-A, non-B hepatitis.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Acute and chronic hepatitis revisited. Review by an international group. Lancet. 1977 Oct 29;2(8044):914–919. [PubMed] [Google Scholar]
- Alter H. J., Purcell R. H., Holland P. V., Popper H. Transmissible agent in non-A, non-B hepatitis. Lancet. 1978 Mar 4;1(8062):459–463. doi: 10.1016/s0140-6736(78)90131-9. [DOI] [PubMed] [Google Scholar]
- Alter H. J. The dominant role of non-A, non-B in the pathogenesis of post-transfusion hepatitis: a clinical assessment. Clin Gastroenterol. 1980 Jan;9(1):155–170. [PubMed] [Google Scholar]
- Berman M., Alter H. J., Ishak K. G., Purcell R. H., Jones E. A. The chronic sequelae of non-A, non-B hepatitis. Ann Intern Med. 1979 Jul;91(1):1–6. doi: 10.7326/0003-4819-91-1-1. [DOI] [PubMed] [Google Scholar]
- Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 29-1980. N Engl J Med. 1980 Jul 24;303(4):207–216. doi: 10.1056/NEJM198007243030409. [DOI] [PubMed] [Google Scholar]
- De Groote J., Desmet V. J., Gedigk P., Korb G., Popper H., Poulsen H., Scheuer P. J., Schmid M., Thaler H., Uehlinger E. A classification of chronic hepatitis. Lancet. 1968 Sep 14;2(7568):626–628. doi: 10.1016/s0140-6736(68)90710-1. [DOI] [PubMed] [Google Scholar]
- Hoofnagle J. H., Gerety R. J., Tabor E., Feinstone S. M., Barker L. F., Purcell R. H. Transmission of non-A, non-B hepatitis. Ann Intern Med. 1977 Jul;87(1):14–20. doi: 10.7326/0003-4819-87-1-14. [DOI] [PubMed] [Google Scholar]
- Knodell R. G., Conrad M. E., Ishak K. G. Development of chronic liver disease after acute non-A, non-B post-transfusion hepatitis. Role of gamma-globulin prophylaxis in its prevention. Gastroenterology. 1977 May;72(5 Pt 1):902–909. [PubMed] [Google Scholar]
- Koretz R. L., Stone O., Gitnick G. L. The long-term course of non-A, non-B post-transfusion hepatitis. Gastroenterology. 1980 Nov;79(5 Pt 1):893–898. [PubMed] [Google Scholar]
- Koretz R. L., Suffin S. C., Gitnick G. L. Post-transfusion chronic liver disease. Gastroenterology. 1976 Nov;71(5):797–803. [PubMed] [Google Scholar]
- Morphological criteria in viral hepatitis. Review by an international group. Lancet. 1971 Feb 13;1(7694):333–337. [PubMed] [Google Scholar]
- Popper H., Schaffner F. The vocabulary of chronic hepatitis. N Engl J Med. 1971 May 20;284(20):1154–1156. doi: 10.1056/NEJM197105202842011. [DOI] [PubMed] [Google Scholar]
- Shirachi R., Shiraishi H., Tateda A., Kikuchi K., Ishida N. Hepatitis "C" antigen in non-A, non-B post-transfusion hepatitis. Lancet. 1978 Oct 21;2(8095):853–856. doi: 10.1016/s0140-6736(78)91567-2. [DOI] [PubMed] [Google Scholar]
- Tabor E., Gerety R. J., Drucker J. A., Seeff L. B., Hoofnagle J. H., Jackson D. R., April M., Barker L. F., Pineda-Tamondong G. Transmission of non-A, non-B hepatitis from man to chimpanzee. Lancet. 1978 Mar 4;1(8062):463–466. doi: 10.1016/s0140-6736(78)90132-0. [DOI] [PubMed] [Google Scholar]
- Vitvitski L., Trepo C., Prince A. M., Brotman B. Detection of virus-associated antigen in serum and liver of patients with non-A non-B hepatitis. Lancet. 1979 Dec 15;2(8155):1263–1267. doi: 10.1016/s0140-6736(79)92280-3. [DOI] [PubMed] [Google Scholar]