Rheumatological Manifestations Associated with Viral Hepatitis B or C

Abstract INTRODUCTION Rheumatological findings and rheumatic diseases may be associated with hepatitis virus infection. This study assessed the frequency of these manifestations in a reference unit in Acre, Brazil. METHODS This was a cross-sectional study with a convenience sample of patients ha...

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Main Authors: Ídila Mont’Alverne Xavier de Oliveira, Rita do Socorro Uchôa da Silva
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2019-12-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100343&tlng=en
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author Ídila Mont’Alverne Xavier de Oliveira
Rita do Socorro Uchôa da Silva
author_facet Ídila Mont’Alverne Xavier de Oliveira
Rita do Socorro Uchôa da Silva
author_sort Ídila Mont’Alverne Xavier de Oliveira
collection DOAJ
description Abstract INTRODUCTION Rheumatological findings and rheumatic diseases may be associated with hepatitis virus infection. This study assessed the frequency of these manifestations in a reference unit in Acre, Brazil. METHODS This was a cross-sectional study with a convenience sample of patients having their first consultation at the rheumatology outpatient clinics of a referral unit in Rio Branco, Acre, from March to November 2017. Sociodemographic, clinical, laboratory, and imaging data registereds using a standardized questionnaire form. RESULTS Among the 600 patients with rheumatic complaints, 3.0% were newly diagnosed with hepatitis B virus (HBV) or hepatitis C virus (HCV), and 8.7% were previously diagnosed with hepatitis. Among the 70 patients with hepatitis, 54.3% were carriers of HBV and 45.7% of HCV. For patients infected with HBV and HCV, arthralgia was the most prevalent rheumatic manifestation in 97.4% and 90.6%, followed by myalgia in 81.6% and 65.6%, and arthritis in 26.3% and 40.6% of patients, respectively, according to the descriptive analysis performed using the Statistical Package for the Social Sciences software. In comparative analyses using the chi-squared test, despite the fact that fibromyalgia was the most prevalent rheumatic disease only the Rheumatoid Arthritis there were differences in distribution between the carriers of HCV (18.8%) and HBV (2.6%). According to the Fisher’s exact test, hypothyroidism was the most frequent comorbidity in patients with HCV (21.9%). CONCLUSIONS An increased frequency of musculoskeletal manifestations, better than those reported in the medical literature, in patients infected with HBV and HCV was observed.
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spelling doaj.art-e40fee47b0f843eca80f49b4a1d5d4772022-12-22T03:28:51ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492019-12-015210.1590/0037-8682-0407-2018Rheumatological Manifestations Associated with Viral Hepatitis B or CÍdila Mont’Alverne Xavier de OliveiraRita do Socorro Uchôa da Silvahttps://orcid.org/0000-0003-0481-0732Abstract INTRODUCTION Rheumatological findings and rheumatic diseases may be associated with hepatitis virus infection. This study assessed the frequency of these manifestations in a reference unit in Acre, Brazil. METHODS This was a cross-sectional study with a convenience sample of patients having their first consultation at the rheumatology outpatient clinics of a referral unit in Rio Branco, Acre, from March to November 2017. Sociodemographic, clinical, laboratory, and imaging data registereds using a standardized questionnaire form. RESULTS Among the 600 patients with rheumatic complaints, 3.0% were newly diagnosed with hepatitis B virus (HBV) or hepatitis C virus (HCV), and 8.7% were previously diagnosed with hepatitis. Among the 70 patients with hepatitis, 54.3% were carriers of HBV and 45.7% of HCV. For patients infected with HBV and HCV, arthralgia was the most prevalent rheumatic manifestation in 97.4% and 90.6%, followed by myalgia in 81.6% and 65.6%, and arthritis in 26.3% and 40.6% of patients, respectively, according to the descriptive analysis performed using the Statistical Package for the Social Sciences software. In comparative analyses using the chi-squared test, despite the fact that fibromyalgia was the most prevalent rheumatic disease only the Rheumatoid Arthritis there were differences in distribution between the carriers of HCV (18.8%) and HBV (2.6%). According to the Fisher’s exact test, hypothyroidism was the most frequent comorbidity in patients with HCV (21.9%). CONCLUSIONS An increased frequency of musculoskeletal manifestations, better than those reported in the medical literature, in patients infected with HBV and HCV was observed.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100343&tlng=enViral hepatitisArthralgiaRheumatic diseasesRheumatoid arthritisWestern Amazon
spellingShingle Ídila Mont’Alverne Xavier de Oliveira
Rita do Socorro Uchôa da Silva
Rheumatological Manifestations Associated with Viral Hepatitis B or C
Revista da Sociedade Brasileira de Medicina Tropical
Viral hepatitis
Arthralgia
Rheumatic diseases
Rheumatoid arthritis
Western Amazon
title Rheumatological Manifestations Associated with Viral Hepatitis B or C
title_full Rheumatological Manifestations Associated with Viral Hepatitis B or C
title_fullStr Rheumatological Manifestations Associated with Viral Hepatitis B or C
title_full_unstemmed Rheumatological Manifestations Associated with Viral Hepatitis B or C
title_short Rheumatological Manifestations Associated with Viral Hepatitis B or C
title_sort rheumatological manifestations associated with viral hepatitis b or c
topic Viral hepatitis
Arthralgia
Rheumatic diseases
Rheumatoid arthritis
Western Amazon
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100343&tlng=en
work_keys_str_mv AT idilamontalvernexavierdeoliveira rheumatologicalmanifestationsassociatedwithviralhepatitisborc
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