Combined glucocorticoid and antiviral therapy of hepatitis B virus-related liver failure
Standard
Combined glucocorticoid and antiviral therapy of hepatitis B virus-related liver failure. / Bockmann, Jan-Hendrik; Dandri-Petersen, Maura; Lüth, Stefan; Pannicke, Nadine; Lohse, Ansgar W; Dandri-Petersen, Maura.
In: WORLD J GASTROENTERO, Vol. 21, No. 7, 21.02.2015, p. 2214-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Combined glucocorticoid and antiviral therapy of hepatitis B virus-related liver failure
AU - Bockmann, Jan-Hendrik
AU - Dandri-Petersen, Maura
AU - Lüth, Stefan
AU - Pannicke, Nadine
AU - Lohse, Ansgar W
AU - Dandri-Petersen, Maura
PY - 2015/2/21
Y1 - 2015/2/21
N2 - Acute hepatic failure due to hepatitis B virus (HBV) can occur both during primary infection as well as after reactivation of chronic infection. Guidelines recommend considering antiviral therapy in both situations, although evidence supporting this recommendation is weak. Since HBV is not directly cytopathic, the mechanism leading to fulminant hepatitis B is thought to be primarily immune-mediated. Therefore, immunosuppression combined with antiviral therapy might be a preferred therapeutic intervention in acute liver failure in hepatitis B. Here we report our favourable experience in three hepatitis B patients with fulminant hepatic failure who were treated by combining high-dose steroid therapy with standard antiviral treatment, which resulted in a rapid improvement of clinical and liver parameters.
AB - Acute hepatic failure due to hepatitis B virus (HBV) can occur both during primary infection as well as after reactivation of chronic infection. Guidelines recommend considering antiviral therapy in both situations, although evidence supporting this recommendation is weak. Since HBV is not directly cytopathic, the mechanism leading to fulminant hepatitis B is thought to be primarily immune-mediated. Therefore, immunosuppression combined with antiviral therapy might be a preferred therapeutic intervention in acute liver failure in hepatitis B. Here we report our favourable experience in three hepatitis B patients with fulminant hepatic failure who were treated by combining high-dose steroid therapy with standard antiviral treatment, which resulted in a rapid improvement of clinical and liver parameters.
U2 - 10.3748/wjg.v21.i7.2214
DO - 10.3748/wjg.v21.i7.2214
M3 - SCORING: Journal article
C2 - 25717260
VL - 21
SP - 2214
EP - 2219
JO - WORLD J GASTROENTERO
JF - WORLD J GASTROENTERO
SN - 1007-9327
IS - 7
ER -