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간장 및 담도 : 만성 B형 간질환 환자에서 각종 바이러스 증식 표지자의 출현동태
유재영(Jae Young Yoo),박충기(Choong Kee Park),김우중(Woo Joong Kim),김태빈(Tae Bin Kim),고순희(Soon Hee Koh),계세협(Sea Hyub Kae),신효균(Ho Kyun Shin),김연근(Yeon Keun Kim),임규성(Kyu Sung Lim) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.1
N/A We studied several viral replication markers of hepatitis B virus in patients with chronic hepatitis B and hepatocellular carcinoma to evaluate the clinical significance of thesemarkers in serum. The patients comprised of 43 males and 8 females, and ages from 17 to 64 (mean: 34) years. All patients were sero-positive for hepatitis B surface antigen (HBsAg). Histologically, 36 patients showed chronic active hepatitis and 15 showed hepatocellular carcinoma. The viral replication markers tested were hepatitis B e antigen (HBeAg), antibody to hepatitis B e antigen (anti-HBe), Immunoglobulin M antibody to hepatitis B core antigen (IgM anti-HBc), DNA polymerase and hepatitis B virus deoxyribonucleic acid (HBV-DNA). The results were summerized as follows. 1) The younger the patients, the higher was the positive rate of HBeAg; the older the patients, the higher was the positive rate of anti-HBe. 2) There was a reverse correlation between the age and the level of serum alanine aminotransferase (ALT); the younger the patients, the higher was the titer. But no correlation was noted between age and the level of serum aspartate aminotransferase (AST). 3) The histologic findings of the liver tended to be more severe in older patients. The patients with hepatocellular carcinoma were the oldest group. 4) The positive rate of HBeAg was higher in patients with chronic hepatitis than in patients with hepatocellular carcinoma. but there was no difference between these two groups in the positive rate of IgM anti-HBc. 5) The positive rate of HBV-DNA and DNA polymerase was 63% and 35%, respectively, and their titers were significantly low. 6) There was no significant correlation between the positive rate of HBeAg, IgM anti-HBc, HBV-DNA, and DNA polymtrase. On the basis of these findings, it is suggested that the natural history of chronic hepatitis B of Koreans might be different from that of Caucasians; the positive rate and the titers of the viral replication markers were lower in Koreans.
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