AI Article Synopsis

  • A study involving 241 patients with chronic HCV aimed to explore the relationship between liver fibrosis and various blood indices such as platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW), and platelet-large cell ratio (P-LCR).
  • The research utilized automated hematology analyzers and tests for serum fibrosis markers, revealing that lower PLT counts correlated with higher values of MPV, PDW, and P-LCR, indicating a significant association with liver fibrosis levels.
  • Results showed that patients with advanced fibrosis had notably lower PLT counts and higher MPV, PDW, and P-LCR values compared to those with mild fibrosis, suggesting these indices may serve as useful indicators for tracking

Article Abstract

Aim: A total of 241 patients with chronic HCV infection were recruited to investigate the association between liver fibrosis and PLT counts, as well as with MPV, PDW and P-LCR indices.

Methods: The determination of PLT indices was carried out using a Sysmex XT-1800i automated hematology analyzer. Serological tests for HA, LN, C-IV and PIIINP were performed in 210 patients. The liver stiffness was measured in 69 patients by transient elastography (FibroScan).

Results: The analysis showed that the four serum fibrosis markers were negatively correlated with PLT counts, but positively correlated with the MPV, PDW and P-LCR values. Moreover, a similar pattern was found after analyzing the FibroScan measurements, which were negatively correlated with PLT counts, but positively correlated with MPV, PDW and P-LCR values. We subdivided the HCV-infected patients into mild and advanced fibrosis groups. The PLT counts were significantly decreased and the MPV, PDW and P-LCR values were significantly increased in the advanced fibrosis group when compared with the mild fibrosis group.

Conclusions: Our results demonstrate that not only the PLT counts but also the MPV, PDW and P-LCR indices significantly correlate with liver fibrosis in HCV-infected patients. Therefore, these indices may be useful laboratory measures for evaluating liver fibrosis progression.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952095PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227544PLOS

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