Cutaneous manifestations of hepatitis C in the era of new antiviral agents

Simone Garcovich, Antonio Gasbarrini, Rodolfo Capizzi

Risultato della ricerca: Contributo in rivistaArticolo in rivista

28 Citazioni (Scopus)

Abstract

The association of chronic hepatitis C virus (HCV) infection with a wide spectrum of cutaneous manifestations has been widely reported in the literature, with varying strength of epidemiological association. Skin diseases which are certainly related with chronic HCV infection due to a strong epidemiological and pathogenetic association are mixed cryoglobulinemia, lichen planus and porphyria cutanea tarda. Chronic pruritus and necrolytic acral erythema are conditions that may share a possible association with HCV infection, while several immune-mediated inflammatory skin conditions, such as psoriasis, chronic urticaria and vitiligo, have been only anecdotally reported in the setting of chronic HCV infection. Traditional interferon-based treatment regimens for HCV infection are associated with substantial toxicity and a high-risk of immune-related adverse events, while the advent of new direct-acting antivirals with sustained virological response and improved tolerability will open the door for all-oral, interferon-free regimens. In the new era of these direct acting antivirals there will be hopefully a renewed interest in extra-hepatic manifestations of HCV infection. The aim of the present paper is to review the main cutaneous HCV-related disorders - mixed cryoglobulinemia, lichen planus, porphyria cutanea tarda and chronic pruritus - and to discuss the potential impact of new antiviral treatments on the course of these extra-hepatic manifestations of chronic HCV infection.
Lingua originaleEnglish
pagine (da-a)2740-2748
Numero di pagine9
RivistaWorld Journal of Hepatology
Volume7
DOI
Stato di pubblicazionePubblicato - 2015

Keywords

  • Chronic liver disease
  • Extra-hepatic manifestation
  • Hepatitis C virus
  • Interferon-free agents
  • Lichen planus
  • Mixed cryoglobulinemia
  • Skin diseases

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