Abstract
The incidence of jaundice and of abnormal liver function tests has been assessed in 91 multitransfused patients with severe haemophilia A and B. Tests of hepatocyte function were within the normal range in the majority of patients. On the contrary, tests of biliary cell function, liver cell damage, and bromsulphthalein retention gave high rates of abnormal values, which tended to increase with age. Hepatitis B surface antigen was present in 8% and the corresponding antibody in 66% of the cases; 18% had a history of jaundice. All patients were asymptomatic and only a minority showed clinical signs of liver involvement. These data suggest that in haemophilacs repeated and prolonged contact with the agent(s) responsible for post-transfusion hepatitis may cause chronic liver damage not associated with overt illness.
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- Biggs R. Jaundice and antibodies directed against factors 8 and 9 in patients treated for haemophilia or Christmas disease in the United Kingdom. Br J Haematol. 1974 Mar;26(3):313–329. doi: 10.1111/j.1365-2141.1974.tb00476.x. [DOI] [PubMed] [Google Scholar]
- Burrell C. J., Parker A. C., Ramsay D. M., Proudfoot E. Antibody to hepatitis B antigen in haemophiliacs and their household contacts. J Clin Pathol. 1974 Apr;27(4):323–325. doi: 10.1136/jcp.27.4.323. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feinman S. V., Berris B., Sinclair J. C., Wrobel D. M., Alter H. J., Holland P. V. Relation of hepatitis-B-antigen subtypes in symptom-free carriers to geographical origin and liver abnormalities. Lancet. 1973 Oct 20;2(7834):867–869. doi: 10.1016/s0140-6736(73)92003-5. [DOI] [PubMed] [Google Scholar]
- Forbes C. D., King J., Prentice C. R., McNicol G. P. Serum enzyme changes after intramuscular bleeding in patients with haemophilia and Christmas disease. J Clin Pathol. 1972 Dec;25(12):1034–1037. doi: 10.1136/jcp.25.12.1034. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gocke D. J., Howe C. Rapid detection of Australia antigen by counterimmunoelectrophoresis. J Immunol. 1970 Apr;104(4):1031–1034. [PubMed] [Google Scholar]
- Grady G. Editorial: Tolerating hepatitis. N Engl J Med. 1974 Jun 11;291(2):96–97. doi: 10.1056/NEJM197407112910212. [DOI] [PubMed] [Google Scholar]
- Hollinger F. B., Werch J., Melnick J. L. A prospective study indicating that double-antibody radioimmunoassay reduces the incidence of post-transfusion hepatitis B. N Engl J Med. 1974 May 16;290(20):1104–1109. doi: 10.1056/NEJM197405162902002. [DOI] [PubMed] [Google Scholar]
- Kasper C. K., Kipnis S. A. Hepatitis and clotting-factor concentrates. JAMA. 1972 Jul 31;221(5):510–510. [PubMed] [Google Scholar]
- Lewis J. H., Maxwell N. G., Brandon J. M. Jaundice and hepatitis B antigen-antibody in hemophilia. Transfusion. 1974 May-Jun;14(3):203–211. doi: 10.1111/j.1537-2995.1974.tb04519.x. [DOI] [PubMed] [Google Scholar]
- Ling C. M., Overby L. R. Prevalence of hepatitis B virus antigen as revealed by direct radioimmune assay with 125 I-antibody. J Immunol. 1972 Oct;109(4):834–841. [PubMed] [Google Scholar]
- London W. T., Di Figlia M., Sutnick A., Blumberg B. S. An epidemic of hepatitis in a chronic-hemodialysis unit. Australia antigen and differences in host response. N Engl J Med. 1969 Sep 11;281(11):571–578. doi: 10.1056/NEJM196909112811101. [DOI] [PubMed] [Google Scholar]
- Peterson M. R., Barker L. F., Schade D. S. Detection of antibody to hepatitis-associated antigen in hemophilia patients and in voluntary blood donors. Vox Sang. 1973 Jan;24(1):66–75. doi: 10.1111/j.1423-0410.1973.tb03858.x. [DOI] [PubMed] [Google Scholar]
- Prince A. M., Brotman B., Jass D., Ikram H. Specificity of the direct solid-phase radioimmunoassay for detection of hepatitis-B antigen. Lancet. 1973 Jun 16;1(7816):1346–1350. doi: 10.1016/s0140-6736(73)91674-7. [DOI] [PubMed] [Google Scholar]
- Simon J. B., Patel S. K. Liver diseases in asymptomatic carriers of hepatitis B antigen. Gastroenterology. 1974 May;66(5):1020–1028. [PubMed] [Google Scholar]
- Woolf I. L., Boyes B. E., Jones D. M., Whittaker J. S., Tapp E., MacSween R. N., Renton P. H., Stratton F., Dymock I. W. Asymptomatic liver disease in hepatitis B antigen carriers. J Clin Pathol. 1974 May;27(5):348–352. doi: 10.1136/jcp.27.5.348. [DOI] [PMC free article] [PubMed] [Google Scholar]