Full Length Research Paper
Abstract
The aim of the present study was to determine the frequency of hepatitis B and C infections; to analyze the markers of inflammation and liver function tests; and to assess the possible association between factor VIII inhibitor and hepatitis C and/or hepatitis B infections in hemophiliacs of Hamadan province of Iran. Subjects with confirmed diagnosis of hemophilia who agreed to participate were recruited in this case-series study. Hepatitis B and C serology, aspartate aminotransferase (AST), alanine aminotransferase (ALT) and factor VIII levels, and factor VIII inhibitor titer were analyzed. Frequency of anti hepatitis C antibody and hepatitis B surface antigen were 59.1 and 5%, respectively. Factor VIII inhibitor was present in 47.8% of hemophilia A group, and its presence was neither associated with hepatitis B and hepatitis C infections nor with AST, ALT levels. Student’s t-test showed a significant statistical association between duration of hemophilia and development of factor VIII inhibitor (p value =0.038). Frequency of hepatitis B and C infections in hemophiliacs is significant. There was a significant association between duration of hemophilia and hepatitis C infection (p value <0.011). One suggestion is that current blood product screening methods for eliminating blood-borne viruses might not be effective enough. Further investigation is recommended.
Key words: Hepatitis B, hepatitis C, hemophilia, Iran.
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