HCV and Diabetes Mellitus: Considerations About Effects of Interferon Therapy

L. Reynaud, M. A. Carleo, M. Talamo, G. Borgia
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Abstract

Nowadays HCV-related chronic hepatitis represents one of the main challenge for infectious diseases for many reasons: the dimension of the phenomenon, as millions of patients are afflicted with this pathology in the world, the dra- matic consequences on the quality of their life, the economic and sanitary efforts sustained by the society, but also the stimulating results in therapeutic approach due to the introduction of interferons in monotherapy first and association ther- apy (IFN plus ribavirin) later in modern protocols. The results obtained with these therapies are very encouraging even if medical doctors and patients know very well that this therapy is related to some side effects that grow dramatically in number with the progression of scientific knowledge. The Authors review the literature on the relationship among HCV, IFN therapy and diabetes to understand better damages and benefits of this long debated matter and possibly add their contribution to clinical and therapeutic strategies.
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丙型肝炎与糖尿病:干扰素治疗效果的考虑
目前,丙型肝炎相关慢性肝炎是传染病的主要挑战之一,原因有很多:这一现象的规模,由于世界上数百万患者受到这种病理的折磨,对他们的生活质量的戏剧性后果,社会持续的经济和卫生努力,以及由于首先在单药治疗中引入干扰素和后来在现代方案中引入联合治疗(干扰素加利巴韦林)而在治疗方法上产生的刺激结果。尽管医生和病人都很清楚,这种疗法会带来一些副作用,而且随着科学知识的进步,这些副作用会急剧增加,但这些疗法取得的结果还是非常令人鼓舞的。作者回顾了关于丙型肝炎病毒、干扰素治疗和糖尿病之间关系的文献,以更好地了解这一长期争论的问题的危害和益处,并可能增加他们对临床和治疗策略的贡献。
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