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Erschienen in: Indian Journal of Gastroenterology 4/2016

03.06.2016 | Review Article

Liver involvement in human immunodeficiency virus infection

verfasst von: Pankaj Puri, Sandeep Kumar

Erschienen in: Indian Journal of Gastroenterology | Ausgabe 4/2016

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Abstract

The advances in management of patients with acquired immunodeficiency syndrome (AIDS) with highly effective anti-retroviral therapy (HAART) have resulted in increased longevity of patients with human immunodeficiency virus (HIV) infection. AIDS-related illnesses now account for less than 50 % of the deaths, and liver diseases have emerged as the leading cause of death in patients with HIV infection. Chronic viral hepatitis, drug-related hepatotoxicity, non-alcoholic fatty liver disease, and opportunistic infections are the common liver diseases that are seen in HIV-infected individuals. Because of the shared routes of transmission, co-infections with hepatitis B virus (HBV) and hepatitis C virus (HCV) are very common in HIV-infected persons. Hepatitis C is the most common viral hepatitis seen in HIV-infected patients. With the availability of directly acting agents, treatment outcome of HCV is comparable to that seen in non HIV-infected patients. Careful monitoring is required for drug interactions and drug-induced hepatotoxicity and modification of drugs should be done where necessary. The results of liver transplantation in select HIV-infected patients can be comparable with those of HIV-negative patients.
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Metadaten
Titel
Liver involvement in human immunodeficiency virus infection
verfasst von
Pankaj Puri
Sandeep Kumar
Publikationsdatum
03.06.2016
Verlag
Springer India
Erschienen in
Indian Journal of Gastroenterology / Ausgabe 4/2016
Print ISSN: 0254-8860
Elektronische ISSN: 0975-0711
DOI
https://doi.org/10.1007/s12664-016-0666-8

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