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Correspondence
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Volume 328:1121-1124 April 15, 1993 Number 15
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Hepatitis C Virus and Cryoglobulinemia

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To the Editor: Agnello et al. (Nov. 19 issue)1 report the detection of hepatitis C virus (HCV) RNA in serum samples from 16 of 19 patients with type II cryoglobulinemia. Using three different assays, they demonstrated antibodies to HCV in the samples from only 8 of the 16 patients positive for HCV RNA and in one of four cryoprecipitates from the patients positive for antibodies to HCV. These findings are surprisingly different from those obtained by several investigators using quite similar assays2,3,4. In our series of 51 patients with essential mixed cryoglobulinemia4 and in 24 additional patients subsequently studied, . . . [Full Text of this Article]

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