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Post-transplant plasma cell hepatitis in a liver transplant patient treated with pegylated interferon plus ribavirin
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 1 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 2 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 3 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 4 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 5 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 6 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
- 7 Department of Gastroenterology and Hepatology, Liver Transplantation Unit, University Hospital Carlos Haya, Málaga, Spain
Open Journal of Gastroenterology·Volume 03 (2013)·Pages 307–310·Published 26 November 2013·DOI10.4236/ojgas.2013.37053
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Abstract
The recurrence of hepatitis C after a liver transplant remains an important cause of graft loss and retransplant. Antiviral therapy with peginterferon plus ribavirin (PEG-INF/RBV) can achieve a sustained viral response and histological improvement in a high percentage of cases. However, this treatment is not exempt from important side effects or from the possibility of precipitating rejection, with the resulting graft loss. We report the case of a liver transplant patient who received treatment with PEG-INF/RBV and developed plasma cell hepatitis as the presenting form of rejection.
KeywordsLiver TransplantationC Hepatitis TreatmentPlasmatic CellsAllograft RejectionAutoinmune Response
- Berenguer, M. (2008) Systematic review of the treatment of established recurrent hepatitis C with pegylated interferon in combination with ribavirin. Journal of Hepatology, 49, 274-287. http://dx.doi.org/10.1016/j.jhep.2008.05.002
- Rubín, A., Aguilera, V. and Berenguer, M. (2011) Liver transplantation and hepatitis C. Clinics and Research in Hepatology and Gastroenterology, 35, 805-812. http://dx.doi.org/10.1016/j.clinre.2011.04.009
- Hassan, Q., Roche, B., Buffet, C., Bessede, T., Samuel, D., Charpentier, B. and Durrbach, A. (2012) Liver-kidney recipients with chronic viral hepatitis C treated with interferon-alpha. Transplant International, 25, 941-947. http://dx.doi.org/10.1111/j.1432-2277.2012.01520.x
- Burra, P., Targhetta, S., Pevere, S., Boninsegna, S., Guido, M., Canova, D., Brolese, A., et al. (2006) Antiviral therapy for hepatitis C virus recurrence following liver transplantation: Long-term results from a single center experience. Transplantation Proceedings, 38, 1127-1130. http://dx.doi.org/10.1016/j.transproceed.2006.02.135
- Levitsky, J., Fiel, M.I., Norvell, J.P., Wang, E., Watt, K.D., Curry, M.P., Tewani, S., et al. (2012) Risk for immune-mediated graft dysfunction in liver transplant recipients with recurrent HCV infection treated with pegylated interferon. Gastroenterology, 142, 1132-1139. http://dx.doi.org/10.1053/j.gastro.2012.01.030
- Belli, L.S., Volpes, R., Graziadei, I., Fagiouli, S., Starkel, P., Burra, P., Alberti, A.B., et al. (2012) Antiviral therapy and fibrosis progression in patients with mild-moderate hepatitis C recurrence after liver transplantation. A randomized controlled study. Digestive and Liver Disease, 44, 603-609. http://dx.doi.org/10.1016/j.dld.2012.01.017
- Berardi, S., Lodato, F., Gramenzi, A., D’Errico, A., Lenzi, M., Bontadini, A., Morelli, M.C., et al. (2007) High incidence of allograft dysfunction in liver transplanted patients treated with pegylated-interferon alpha-2b and ribavirin for hepatitis C recurrence: Posible de novo autoinmune hepatitis? Gut, 56, 237-242. http://dx.doi.org/10.1136/gut.2006.092064
- Fiel, M.I. and Schiano, T.D. (2012) Plasma cell hepatitis (de-novo autoinmune hepatitis) developing post liver transplantation. Current Opinion in Organ Transplantation, 17, 287-292. http://dx.doi.org/10.1097/MOT.0b013e3283536622
- Czaja, A. (2008) Performance parameters of the diagnostic scoring systems for autoimmune hepatitis. Hepatology, 48, 1540-1548. http://dx.doi.org/10.1002/hep.22513