High prevalence of hepatitis C virus genotype la in Japanese hemophiliacs

Takeaki Suou , Toshio Kawatani , Kenichi Nishikawa , Juichi Ueki , Hiroaki Sawada , Shinji Ooi , Minoru Yamada , Hiroyuki Sasaki , Hironaka Kawasaki
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引用次数: 2

Abstract

Japanese hemophiliacs have received a large number of imported coagulation factors from the USA as well as domestic ones. We investigated the prevalence of hepatitis C virus (HCV) genotypes in 25 hemophiliacs and in 461 patients with chronic hepatitis C in the San-in area, west Japan. The prevalence of HCV genotype la was significantly higher in hemophiliacs (36%, P 〈 0.001) than patients with chronic hepatitis C (0.2%). Furthermore, the mixed infection of different genotypes was significantly more frequent in hemophiliacs (20%, P 〈 0.0001) compared to chronic hepatitis C patients (1%). These results suggest that Japanese hemophiliacs could be infected with HCV genotype la by numerous and repeated infusion of imported coagulation factors from the USA.

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乙型肝炎病毒la基因型在日本血友病患者中的高流行率
日本血友病患者接受了大量从美国进口的凝血因子以及国内的凝血因子。我们调查了日本西部三仁地区25名血友病患者和461名慢性丙型肝炎患者的丙型肝炎病毒(HCV)基因型的流行情况。HCV la基因型在血友病患者中的患病率(36%,P < 0.001)明显高于慢性丙型肝炎患者(0.2%)。此外,不同基因型的混合感染在血友病患者中的发生率(20%,P < 0.0001)明显高于慢性丙型肝炎患者(1%)。提示日本血友病患者可通过大量反复输入美国进口凝血因子感染la型HCV。
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