hepatitis b virus-related glomerulonephritis: not a predominant cause of proteinuria in korean patients with chronic hepatitis b

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ID: 252127
2015
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Ranked #42 of 188 articles by views in colloids and surfaces a: physicochemical and engineering aspects

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Abstract
Background/Aims. Hepatitis B virus (HBV) can form immune complexes which may result in various types of glomerulonephritis (GN). However, proteinuria can occur because of other kidney diseases besides HBV-related GN (HBV-GN). The aim of this study is to elucidate the causes of proteinuria and report on the clinical outcomes of HBV-GN. Methods. We reviewed the medical records of patients positive for serum hepatitis B surface antigen who underwent renal biopsies due to proteinuria at a tertiary medical center in Korea. Results. A total of 55 patients were included. HBV-GN was diagnosed in 20 (36.4%) of the patients by confirming the presence of immune complexes (12 of 13 membranoproliferative glomerulonephritis, 7 of 8 membranous glomerulonephritis, and 1 of 13 immunoglobulin A nephropathy). Twenty-one patients had other types of GN. A total of 13 (65%) HBV-GN patients were treated with antiviral agents for a median of 11 months. However, the degrees of proteinuria were not significantly reduced in the antiviral intervention group when compared to the control group. Conclusions. Proteinuria can be caused by various glomerular diseases and HBV-GN accounts for one-third of total GN cases. Well-designed prospective study is needed to assess whether antiviral therapy against HBV infection may improve the prognosis of HBV-GN.
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yoo2015gastroenterologyhepatitis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Jeong-Ju Yoo;Jeong-Hoon Lee;Jung-Hwan Yoon;Minjong Lee;Dong Hyeon Lee;Yuri Cho;Eun Sun Jang;Eun Ju Cho;Su Jong Yu;Yoon Jun Kim;Hyo-Suk Lee
Journal colloids and surfaces a: physicochemical and engineering aspects
Year 2015
DOI
10.1155/2015/126532
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