Hepatitis C virus positive patient diagnosed after detection of atypical cryoglobulin
Hepatitis C virus positive patient diagnosed after detection of atypical cryoglobulin
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Tarih
2016-01-01
Yazarlar
Ongen, Belkiz
Aksungar, Fehime Benli
Cicek, Bahattin
Akyar, Isin
Coskun, Abdurrahman
Serteser, Mustafa
Unsal, Ibrahim
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
BAISHIDENG PUBLISHING GROUP INC
Dergi Adı
WORLD JOURNAL OF CLINICAL CASES
Özet
A 60-year-old male patient presented with jaundice and dark urine for three days, icteric sclerae and skin rash on his legs for six months. Laboratory inves-tigations revealed an atypical cryoglobulinemia with high hepatitis C virus (HCV)-RNA levels. Imaging studies showed cholestasis was accompanying HCV. Capillary zone electrophoresis using immunosubtraction method revealed a polyclonal immunoglobulin G and immunoglobulin A (IgA) monoclonal cryoglobulin and that IgA lambda was absent in immu-nofixation electrophoresis. After a liver biopsy, chronic hepatitis C, HCV related mixed cryoglobulinemia and cryoglobulinemic vasculitis were diagnosed and antiviral therapy was initiated. Our HCV patient presented with cryoglobulinemic symptoms with an atypical cryoglobulinemia that was detected by an alternative method: Immunosubtraction by capillary electrophoresis. Different types of cryoglobulins may therefore have a correlation with clinical symptoms and prognosis. Therefore, the accurate immunotyping of cryoglobulins with alternative methods may provide more information about cryoglobulin-generated pathology.
Açıklama
Anahtar kelimeler
Cryoglobulinemia, Hepatitis C, Immunosubtraction, Immunotyping, Electrophoresis