Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor

Around 8% of patients diagnosed with sickle cell disease (SCD) are hepatitis C virus (HCV) carriers. Previously, HCV treatment was seldom considered in SCD patients, as the ribavirin-induced hemolysis and interferon-induced cytopenias could lead to more profound anemia. Nowadays, several oral direct...

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Main Authors: Hassan Al Moussawi, Abhishek D. Polavarapu, Divya Asti, Zainab Awada, Stephen  Mulrooney
Format: Article
Language:English
Published: Karger Publishers 2018-10-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/493421
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author Hassan Al Moussawi
Abhishek D. Polavarapu
Divya Asti
Zainab Awada
Stephen  Mulrooney
author_facet Hassan Al Moussawi
Abhishek D. Polavarapu
Divya Asti
Zainab Awada
Stephen  Mulrooney
author_sort Hassan Al Moussawi
collection DOAJ
description Around 8% of patients diagnosed with sickle cell disease (SCD) are hepatitis C virus (HCV) carriers. Previously, HCV treatment was seldom considered in SCD patients, as the ribavirin-induced hemolysis and interferon-induced cytopenias could lead to more profound anemia. Nowadays, several oral direct-acting antiviral drugs have been developed and approved by the FDA for hepatitis C treatment. While direct-acting antivirals mitigate many of these risks, their safety and efficacy in SCD patients remains insufficiently explored. Here, we report on successfully treating HCV with ledipasvir/sofosbuvir in a compensated cirrhotic patient with SCD and thalassemia minor.
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spelling doaj.art-3e3761025a2d4083a91771ed9414a7572022-12-22T03:51:49ZengKarger PublishersCase Reports in Gastroenterology1662-06312018-10-0112362963210.1159/000493421493421Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia MinorHassan Al MoussawiAbhishek D. PolavarapuDivya AstiZainab AwadaStephen  MulrooneyAround 8% of patients diagnosed with sickle cell disease (SCD) are hepatitis C virus (HCV) carriers. Previously, HCV treatment was seldom considered in SCD patients, as the ribavirin-induced hemolysis and interferon-induced cytopenias could lead to more profound anemia. Nowadays, several oral direct-acting antiviral drugs have been developed and approved by the FDA for hepatitis C treatment. While direct-acting antivirals mitigate many of these risks, their safety and efficacy in SCD patients remains insufficiently explored. Here, we report on successfully treating HCV with ledipasvir/sofosbuvir in a compensated cirrhotic patient with SCD and thalassemia minor.https://www.karger.com/Article/FullText/493421Hepatitis C virusLedipasvir/sofosbuvirSickle cell disease
spellingShingle Hassan Al Moussawi
Abhishek D. Polavarapu
Divya Asti
Zainab Awada
Stephen  Mulrooney
Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
Case Reports in Gastroenterology
Hepatitis C virus
Ledipasvir/sofosbuvir
Sickle cell disease
title Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
title_full Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
title_fullStr Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
title_full_unstemmed Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
title_short Successful Treatment of Hepatitis C Virus by Ledipasvir/Sofosbuvir in a Cirrhotic Patient with Sickle Cell Disease and Thalassemia Minor
title_sort successful treatment of hepatitis c virus by ledipasvir sofosbuvir in a cirrhotic patient with sickle cell disease and thalassemia minor
topic Hepatitis C virus
Ledipasvir/sofosbuvir
Sickle cell disease
url https://www.karger.com/Article/FullText/493421
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