Table 3.
Immunological manifestations and useful autoantibodies in the patients with chronic hepatitis C virus infection
Clinical symptoms | Useful autoantibodies | Differential diagnosis |
Polyarthritis/polyarthralgia | RF, anti-CCP | RA |
Sicca (dry eye/dry mouth) | Anti-SSA/SSB | SS |
Purpura | Cryoglobulin | Cryoglobulinemic vasculitis |
Leg ulcer | ANCA, Cryoglobulin | Systemic vasculitis |
Glomerulonephritis | ANCA, Anti-dsDNA | SLE, systemic vasculitis |
Cytopenia | Anti-dsDNA | SLE |
Hepatitis | Anti-SM, Anti-LKM1 | Autoimmune hepatitis |
Thrombosis | Anti-CL IgG/M | APS |
Depression/fatigue | Anti-thyroglobulin, Anti-TPO | Autoimmune thyroiditis |
RF: Rheumatoid factor; Anti-CCP: Anti-cyclic citrullinated peptide; ANCA: Anti-neutrophil cytoplasmic antibody; Anti-dsDNA: Anti-double strand DNA; Anti-SM: Anti-smooth muscle; Anti-LKM1: Anti-liver kidney microsomal type 1; Anti-CL: Anti-cardiolipin; Anti-TPO: Anti-thyroid peroxidase; RA: Rheumatoid arthritis; SS: Sjögren syndrome; SLE: Systemic lupus erythematosus; APS: Antiphospholipid antibody syndrome.