Frequency of Hepatitis C in patients presented with isolated thrombocytopenia.

Rumaisha Aslam, Masooma Jaffer, Hammad Saleem, Fatima Saeed, Mehroosh Shakeel, Muhammad Touqeer Hanif
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Abstract

Objective: HCV-related thrombocytopenia poses challenges in infection and treatment. This study emphasizes screening for early thrombocytopenia as it signals hematological abnormalities, indicating bleeding tendencies and complications. Study Design: Cross-sectional Investigation. Setting: Pathology Department of Allama Iqbal Medical College and Jinnah Hospital. Period: November 2019 to November 2020. Methods: Included 180 participants with platelet counts <100,000/µl, normal hemoglobin, and WBC counts. Exclusions: anemia, leucopenia, prior Hepatitis C treatment, and platelet clumps. Data on age, gender, socioeconomic status, and family history were collected. Platelet counts and HCV detection utilized peripheral smears and venous blood samples, analyzed with SPSS version 25.0. Results: In a study of 180 thrombocytopenic patients of all ages were included with mean age 32. Among 34 HCV-positive cases, 102 had a family history, with age-wise distribution: 18, 14, 2. Gender: 20 males, 14 females. HCV-positive households: 21 positive, 13 negative. Significant p-values for age groups (p=0.000), non-significant for gender (p=0.281), socioeconomic status (p=0.083), and household HCV status (p=0.505). Conclusion: A significant association exists between decreased platelet count and Hepatitis C virus, providing valuable insights for screening in clinical settings.
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孤立性血小板减少症患者中丙型肝炎的发病率。
目的:HCV 相关血小板减少症给感染和治疗带来了挑战。本研究强调筛查早期血小板减少症,因为它是血液异常的信号,预示着出血倾向和并发症。研究设计:横断面调查。研究地点阿拉玛-伊克巴尔医学院和真纳医院病理科。时间:2019 年 11 月至 2020 年 11 月2019年11月至2020年11月。研究方法纳入180名血小板计数<100,000/µl、血红蛋白和白细胞计数正常的参与者。排除:贫血、白细胞减少症、曾接受过丙型肝炎治疗和血小板结块。收集了有关年龄、性别、社会经济地位和家族史的数据。血小板计数和 HCV 检测采用外周涂片和静脉血样本,用 SPSS 25.0 版进行分析。研究结果研究共纳入 180 名血小板减少症患者,年龄不等,平均年龄为 32 岁。在 34 例 HCV 阳性病例中,102 例有家族史,年龄分布为 18、14、2 岁:性别:男性 20 人,女性 14 人。HCV 阳性家庭:21 个阳性,13 个阴性。年龄组的 p 值显著(p=0.000),性别(p=0.281)、社会经济状况(p=0.083)和家庭 HCV 状况(p=0.505)不显著。结论血小板计数下降与丙型肝炎病毒之间存在明显的关联,为临床筛查提供了宝贵的启示。
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