Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C

Objectives. We evaluated platelet counts in end-stage renal disease and chronic viral hepatitis. Materials and Methods. We studied 70 patients with end-stage renal disease and chronic viral hepatitis and compared them to a control group of 45 patients without hepatitis. Results. The presence of v...

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Main Authors: Olga Hilda Orasan, Laura Urian, George Ciulei, Iulia Breaban, Andreea Maria Stefan, Sorina Cezara Secara, Adela-Sitar Taut, Simina Tarmure Sarlea, Vasile Negrean, Dorel Sampelean, Ioan Mihai Patiu, Remus Aurel Orasan, Angela Cozma
Format: Article
Language:English
Published: MDPI AG 2018-10-01
Series:Journal of Mind and Medical Sciences
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Online Access:https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1124&context=jmms
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author Olga Hilda Orasan
Laura Urian
George Ciulei
Iulia Breaban
Andreea Maria Stefan
Sorina Cezara Secara
Adela-Sitar Taut
Simina Tarmure Sarlea
Vasile Negrean
Dorel Sampelean
Ioan Mihai Patiu
Remus Aurel Orasan
Angela Cozma
author_facet Olga Hilda Orasan
Laura Urian
George Ciulei
Iulia Breaban
Andreea Maria Stefan
Sorina Cezara Secara
Adela-Sitar Taut
Simina Tarmure Sarlea
Vasile Negrean
Dorel Sampelean
Ioan Mihai Patiu
Remus Aurel Orasan
Angela Cozma
author_sort Olga Hilda Orasan
collection DOAJ
description Objectives. We evaluated platelet counts in end-stage renal disease and chronic viral hepatitis. Materials and Methods. We studied 70 patients with end-stage renal disease and chronic viral hepatitis and compared them to a control group of 45 patients without hepatitis. Results. The presence of viral hepatitis was associated with a higher prevalence of thrombocytopenia. Correlations between age, C-reactive protein, liver stiffness measurement, and platelet count were observed. C-reactive protein levels > 10 mg/dl were associated with a lower risk of thrombocytopenia in patients with end-stage renal disease and chronic viral hepatitis, yet age > 60 years, dialysis vintage > 10 years, aspartate and alanine aminotransferase levels > 20 IU/L, albumin levels < 3.5 g/dl, and fibrosis stage ≥ 3 were not related. Conclusions. Chronic viral hepatitis leads to a higher prevalence of thrombocytopenia. Platelet counts in these patients begin to decrease significantly once liver fibrosis reaches stage III.
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publishDate 2018-10-01
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series Journal of Mind and Medical Sciences
spelling doaj-art-645772ebeea54dcb8fc33930ae9b9b7b2025-08-20T01:51:02ZengMDPI AGJournal of Mind and Medical Sciences2392-76742392-76742018-10-015223624310.22543/7674.52.P236243Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or COlga Hilda Orasan0Laura Urian1George Ciulei2Iulia Breaban3Andreea Maria Stefan4Sorina Cezara Secara5Adela-Sitar Taut6Simina Tarmure Sarlea7Vasile Negrean8Dorel Sampelean9Ioan Mihai Patiu10Remus Aurel Orasan11Angela Cozma12Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Department of Hematology, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology- Prof. Dr. Octavian Fodor, Cluj-Napoca, Romania Regional Institute of Gastroenterology and Hepatology- Prof. Dr. Octavian Fodor, Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology- Prof. Dr. Octavian Fodor, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaNefromed Dialysis Centers, Cluj-Napoca, RomaniaNefromed Dialysis Centers, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, 4th Medical Department, Cluj-Napoca, RomaniaObjectives. We evaluated platelet counts in end-stage renal disease and chronic viral hepatitis. Materials and Methods. We studied 70 patients with end-stage renal disease and chronic viral hepatitis and compared them to a control group of 45 patients without hepatitis. Results. The presence of viral hepatitis was associated with a higher prevalence of thrombocytopenia. Correlations between age, C-reactive protein, liver stiffness measurement, and platelet count were observed. C-reactive protein levels > 10 mg/dl were associated with a lower risk of thrombocytopenia in patients with end-stage renal disease and chronic viral hepatitis, yet age > 60 years, dialysis vintage > 10 years, aspartate and alanine aminotransferase levels > 20 IU/L, albumin levels < 3.5 g/dl, and fibrosis stage ≥ 3 were not related. Conclusions. Chronic viral hepatitis leads to a higher prevalence of thrombocytopenia. Platelet counts in these patients begin to decrease significantly once liver fibrosis reaches stage III.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1124&context=jmmsthrombocytopeniaend-stage renal diseasechronic viral hepatitis
spellingShingle Olga Hilda Orasan
Laura Urian
George Ciulei
Iulia Breaban
Andreea Maria Stefan
Sorina Cezara Secara
Adela-Sitar Taut
Simina Tarmure Sarlea
Vasile Negrean
Dorel Sampelean
Ioan Mihai Patiu
Remus Aurel Orasan
Angela Cozma
Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
Journal of Mind and Medical Sciences
thrombocytopenia
end-stage renal disease
chronic viral hepatitis
title Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
title_full Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
title_fullStr Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
title_full_unstemmed Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
title_short Thrombocytopenia in end-stage renal disease and chronic viral hepatitis B or C
title_sort thrombocytopenia in end stage renal disease and chronic viral hepatitis b or c
topic thrombocytopenia
end-stage renal disease
chronic viral hepatitis
url https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1124&context=jmms
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