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Original Article
Brief Report
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Volume 335:631-634 August 29, 1996 Number 9
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Hepatitis C Virus–Associated Fulminant Hepatic Failure
Patrizia Farci, M.D., Harvey J. Alter, M.D., Atsushi Shimoda, M.D., Sugantha Govindarajan, M.D., Ling C. Cheung, M.D., Jacqueline C. Melpolder, B.Sc., Ronald A. Sacher, M.D., James W. Shih, Ph.D., and Robert H. Purcell, M.D.

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Fulminant hepatic failure is a dramatic clinical syndrome characterized by massive necrosis of liver cells.1 It is most often caused by hepatitis A virus and hepatitis B virus (HBV)2; whether hepatitis C virus (HCV) can cause it is still controversial.3,4 Among patients with non-A, non-B fulminant hepatitis, antibodies against HCV (anti-HCV) or serum HCV RNA were found in 40 to 60 percent in Japan5,6 and Taiwan,7 but in only 2 percent (range, 0 to 12 percent) in Western countries,8,9,10,11,12,13 with one exception: a recent study conducted in California reported a prevalence of 60 percent associated with low socioeconomic status . . . [Full Text of this Article]

Case Report

Methods

Anti-HCV Testing

Detection, Titration, Genotyping, and Sequencing of HCV RNA

Detection of Serum HGV RNA

Detection of Serum HBV DNA

Liver-Biopsy Studies and Immunohistochemical Staining for the Detection of HCV Antigen in the Liver

Results

Discussion


Source Information

From the Hepatitis Viruses Section, Laboratory of Infectious Diseases, National Institute of Allergy and Infectious Diseases (P.F., A.S., R.H.P.), and the Department of Transfusion Medicine, Warren G. Magnuson Clinical Center (H.J.A., L.C.C., J.C.M., J.W.S.), National Institutes of Health, Bethesda, Md.; the Department of Pathology, Rancho Los Amigos Medical Center, Downey, Calif. (S.G.); and the Division of Clinical and Laboratory Service, Georgetown Medical Center, Washington, D.C. (R.A.S.).

Address reprint requests to Dr. Farci at the Istituto di Medicina Interna, University of Cagliari, Via San Giorgio 12, 09124 Cagliari, Italy.

References


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