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Abstract Hepatitis C virus (HCV) is an RNA virus causing both acute and’ chronic liver disease and is a major cause of both transfusion associated and sporadic non- A non- B hepatitis . Hepatitis C virus may be associated with immunologicallymediated renal diseases. The objective of this study was to detect the prevalence ofHCV among Egyptian patients who were diagnosed previously as idiopathic nephrotic syndrome and to study if it could have a possible etiologic role in such patients . Our study comprised 50 patients who were randomly selected diagnosed as idiopathic nephrotic syndromefor whom kidney biopsy had been carried out in Mansoura Urology and Nephrology Center in the course of investigations, attending its outpatient clinics for follow up. The study revealed high prevalence ofHCV infection among patients with idiopathic nephrotic syndrome, specially patients of MPGN with increasing age, presence ofhepatomegally, mildly elevated transaminases and history of anti-bilharizial drugs. MPGN was the commonest pathological type associated with HCV and hypocomplementemia. We can recommend the routine screening of patients with glomerulopathy for HCY, seroepidemiological studies involving larger population of patients in various regions to specify the relationship between HCY and glomerulopathy in the presence and. absence of schistosomiasis and to define the characters which help to determine the etiological factor which may be responsible,for these pathological changes, follow up the patients for cryoglobulinemiaand to determine the strategy for treatment of such cases and define the effects of their treatment on HeV viremia, antibody response, renal and liver diseases. |