Publications by authors named "Adalgisa P Ferreira"

Article Synopsis
  • - Chronic hepatitis B affects about 290 million people globally, leading to serious issues like cirrhosis and liver cancer, but only 10% of those infected are diagnosed.
  • - In Brazil, most areas have low rates of HBV infection, but some regions have higher carrier frequencies, and many infected individuals remain unidentified and untreated.
  • - The Brazilian Society of Infectious Diseases and the Brazilian Society of Hepatology created a guideline covering diagnostic procedures, treatment options, and management strategies for special groups like pregnant women and immunosuppressed patients, addressing delta infection as well.
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Background: Hepatitis C is an important health problem. In Brazil, 1-2 million people are infected. Despite this expressive number, and the availability of very successful treatment, many patients remained undiagnosed mainly because of the asymptomatic nature of the infection.

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Background: Few studies have evaluated the histological aspects of hepatitis C virus (HCV) infection in hemodialysis patients and the factors related to the progression of hepatic fibrosis in this population have not been defined.

Aim: To evaluate the influence of host-related factors on the fibrosis progression in end-stage renal disease (ESRD) patients with HCV infection.

Methods: HCV-infected ESRD patients who submitted to liver biopsy were included.

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Background: Interferon monotherapy significantly reduces the chronicity rate of acute hepatitis C in nonuremic patients. In this clinical study, we evaluated the efficacy and tolerance of interferon-alpha therapy for acute hepatitis C in hemodialysis patients.

Methods: Patients with acute hepatitis C, established on the basis of seroconversion to anti-hepatitis C virus and the presence of hepatitis C virus RNA, received a low dose of interferon-alpha (3 MU three times per week) for 12 months or a high dose (5 MU three times per week, preceded by a daily induction dose) for 6 months.

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Background: Patients with end-stage renal disease (ESRD) show a high prevalence of hepatitis C, with a negative impact on the survival on hemodialysis and after renal transplantation. We evaluated the efficacy and tolerance of interferon-alpha (IFN-alpha) in HCV-infected ESRD patients on dialysis.

Methods: Forty-six HCV-RNA-positive ESRD patients were studied.

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The distribution of hepatitis C virus (HCV) genotypes in patients on hemodialysis and in kidney transplant recipients was compared with that observed in a control group composed of HCV-infected individuals from the general population. A total of 340 patients were included in the study: 46 with end-stage renal disease on regular hemodialysis treatment, 22 kidney transplant recipients and 272 controls matched for sex and age at a 4:1 ratio (controls to patient). HCV genotype was determined by sequencing of the 5' untranslated region of the HCV genome.

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