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Cognitive Dysfunction in Chronic Hepatitis C: A Review

机译:慢性丙型肝炎的认知功能障碍:审查。

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The hepatitis C virus (HCV) is a common blood-borne illness that affects up to 2% of the world’s population and almost 4 million Americans. Cognitive impairment, or difficulty with thinking, has become a well-established symptom in persons with end stage liver disease. It was previously assumed that cognitive impairment was a consequence of cirrhosis-associated hepatic encephalopathy. Recent evidence, however, suggests that approximately one-third of people with chronic HCV experience cognitive impairment even in the absence of cirrhosis and that its occurrence is unrelated to other indices of liver function, such as laboratory values, viral load, and genotype. In the present review, evidence outlining the presence of cognitive deficits associated with HCV, possible etiological factors, effects of antiviral therapy, and co-infection with human immunodeficiency virus (HIV) is presented. Implications of these findings and directions for future work are discussed.
机译:丙型肝炎病毒(HCV)是一种常见的血液传播疾病,影响了全球2%的人口和近400万美国人。认知障碍或思维困难已成为晚期肝病患者的公认症状。以前认为认知障碍是肝硬化相关性肝性脑病的结果。然而,最近的证据表明,即使没有肝硬化,约有三分之一的慢性HCV患者也会出现认知障碍,并且其发生与其他肝功能指标(例如实验室值,病毒载量和基因型)无关。在本综述中,提供了概述与HCV相关的认知缺陷,可能的病因,抗病毒治疗的效果以及与人类免疫缺陷病毒(HIV)共同感染的证据。讨论了这些发现和未来工作方向的含义。

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