The significance of cryoglobulinemia in patients with chronic hepatitis B and C virus infection.

Hepatogastroenterology

Refik Saydam Hygiene Center, Tuberculosis Reference and Research Laboratory, AB Blok Kat: 3 06100, Sihhiye, Ankara, Turkey.

Published: February 2004

Background/aims: Mixed cryoglobulinemia is frequently seen in liver disease and chronic viral hepatitis. The aim of this study is to determine the prevalence and clinical findings of cryoglobulins in patients with chronic hepatitis B and chronic hepatitis C.

Methodology: Cryoglobulins were precipitated from serum stored for up to 7 days. The precipitates were washed five times at 4 degrees C with 0.15 mol/L NaCl and total protein concentration was measured by reading absorbance at 280 nm.

Results: The prevalence of cryoglobulinemia was higher in patients with hepatitis C than in patients with hepatitis B (16.6% and 4.6% respectively). Patients with cryoglobulinemia had several symptoms such as arthralgia and weakness.

Conclusions: Cryoglobulin-positive chronic hepatitis B and C patients should be investigated in terms of cryoglobulinemia symptoms and complications.

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