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Relation between serum hepatitis C virus-RNA levels and efficacy of interferon-β therapy
Authors:YUTAKA MINOHARA  TATSUO KATO  KOUZOU KANKI  TOSHIRO GOSHIMA  NATSUKI NAKAJIMA  HILOHUMI KAKU  YUTAKA ARIMOTO  FUMIE GOSHIMA  HIROAKI ISHIKO
Abstract:We performed two courses of interferon-β (IFN-β) to a child with chronic hepatitis C. A complete response was not obtained by the first interferon treatment, however, the results of the second treatment differed from those of the first. Hepatitis C virus (HCV)-RNA remained negative and both aspartate aminotransferase and alanine aminotransferase levels remained normal after completion of the second course. From these results we estimated that HCV-RNA levels before IFN therapy could be significantly associated with the efficacy of this treatment. The serum level of HCV-RNA was 106 copies/50 μL before the first treatment, but was 103 copies/50 μL before the second course. We conclude that IFN therapy to children with hepatitis C should always be directed at providing a cure. Even if the clinical effects of the first course are minimal decreasing quantities of HCV-RNA still offer hope for cure by subsequent readministration.
Keywords:CRT-PCR  hepatitis C  interferon-β  
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