В статье представлены три клинических наблюдения, в которых показано, что присоединение HCV-инфекции у больных с ремиссией болезни Вильсона–Коновалова (БВК) вызывает обострение заболевания, в одном из наблюдений – декомпенсацию цирроза печени. В данной работе мы впервые приводим наблюдения успешного применения препаратов прямого противовирусного действия у больных с сочетанием БВК и HCV-инфекции. Своевременное установление всех факторов поражения печени и успешное лечение (элиминация вируса, адекватная пожизненная медьэлиминирующая терапия) позволяют рассчитывать на благоприятный прогноз у больных с сочетанием БВК и HCV-инфекции.
In the article we present three clinical observations demonstrating that HCV infection in patients with remission of Wilson disease causes an recrudescence of the disease, in one of the observations – decompensation of liver cirrhosis. In this study we first describe on the successful treatment of HCV infection with direct antiviral drugs in patients with Wilson disease. Establishment of all factors of liver damage and successful treatment (elimination of the virus, adequate lifelong medical treatment) allow to expect a favorable prognosis in patients with a combination of Wilson disease and HCV infection.
1. Scheinberg H, Sternlieb I, eds. Wilson’s disease. Philadelphia: WB Saunders; 1984.
2. Ferenci P. Regional distribution of mutations of the ATP7B gene in patients with Wilson disease: impact on genetic testing. Hum Genet. 2006;120:151-9. https://doi.org/10.1007/s00439-006-0202-5
3. Ferenci P, Caca K, Loudianos G, Mieli-Vergani G, Tanner S, Sternlieb I, Schilsky M, Cox D, Berr F. Diagnosis and phenotypic classification of Wilson disease. Liver Int. 2003;23:139-42.
4. Stremmel W, Meyerrose KW, Niederau C, Hefter H, Kreuzpaintner G, Strohmeyer G. Wilson disease: clinical presentation, treatment, and survival. Ann Intern Med. 1991;115:720-6.
5. EASL Clinical Practice Guidelines: Wilson’s disease. J Hepatol. 2012; 56:671-85. https://doi.org/10.1016/j.jhep.2011.11.007
6. Rodriguez-Castro KI, Hevia-Urrutia F.H., Sturniolo G.C. Wilson’s disease: A review of what we have learned. World J Hepatol. 2015;7(29):2859-70. https://doi.org/10.4254/wjh.v7.i29.2859
7. Dienstag JL. Hepatitis B virus infection. N Engl J Med. 2008; 359(14):1486-500.
8. Miriam J Alter. Epidemiology of hepatitis C virus infection. World J Gastroenterol. 2007;13(17):2436-41.
9. Chu NS, Huang CC. Wilson’s disease in Taiwan. Acta Neurol Taiwan. 2008;17(2):75-81.
10. Deng HH, Xu M. The clinical analysis of fulminant Wilson’s disease in patients with hepatitis B virus infection: a report of 13 cases. Zhonghua Nei Ke Za Zhi. 2016;55(8):628-30.
11. Nalecz A, Socha J, Czlonkowska A, Gajda J. Wilson disease with HCV infections. Pediatr Pol. 1995;70(5):431-4.
12. Lembowicz K, Kryczka W, Walewska-Zielecka B, Kubicka J. Wilson's disease coexisting with viral hepatitis type C: a case report with histological and ultrastructural studies of the liver. Ultrastruct Pathol. 1999;23(1):39-44.
13. Розина Т.П., Рахимова О.Ю., Лопаткина Т.Н., Игнатова Т.М. Сочетание болезни Вильсона-Коновалова с хронической HCV-инфекцией (Клинико-морфологическое наблюдение). РЖГГК. 2004;14(2): 57-60 [Rozina TP, Rachimova OYu, Lopatkina TN, Ignatova TM. Combination of Wilson disease with chronic HCV infection. Rossiiskiy zhurnal gastroenterologii, gepatologii, koloproctologii, nevrologii i psikhiatrii imeni S.S. Korsakova. 2004;14(2):57-60 (In Russ.)].
14. Manns M, Samuel D, Gane EJ, et al. Ledipasvir and sofosbuvir plus ribavirin in patients with genotype 1 or 4 hepatitis C virus infection and advanced liver disease: a multicentre, open-label, randomised, phase 2 trial. Lancet Infect Dis. 2016;16(6):685-97. https://doi.org/ 10.1016/S1473-3099(16)00052-9
________________________________________________
1. Scheinberg H, Sternlieb I, eds. Wilson’s disease. Philadelphia: WB Saunders; 1984.
2. Ferenci P. Regional distribution of mutations of the ATP7B gene in patients with Wilson disease: impact on genetic testing. Hum Genet. 2006;120:151-9. https://doi.org/10.1007/s00439-006-0202-5
3. Ferenci P, Caca K, Loudianos G, Mieli-Vergani G, Tanner S, Sternlieb I, Schilsky M, Cox D, Berr F. Diagnosis and phenotypic classification of Wilson disease. Liver Int. 2003;23:139-42.
4. Stremmel W, Meyerrose KW, Niederau C, Hefter H, Kreuzpaintner G, Strohmeyer G. Wilson disease: clinical presentation, treatment, and survival. Ann Intern Med. 1991;115:720-6.
5. EASL Clinical Practice Guidelines: Wilson’s disease. J Hepatol. 2012; 56:671-85. https://doi.org/10.1016/j.jhep.2011.11.007
6. Rodriguez-Castro KI, Hevia-Urrutia F.H., Sturniolo G.C. Wilson’s disease: A review of what we have learned. World J Hepatol. 2015;7(29):2859-70. https://doi.org/10.4254/wjh.v7.i29.2859
7. Dienstag JL. Hepatitis B virus infection. N Engl J Med. 2008; 359(14):1486-500.
8. Miriam J Alter. Epidemiology of hepatitis C virus infection. World J Gastroenterol. 2007;13(17):2436-41.
9. Chu NS, Huang CC. Wilson’s disease in Taiwan. Acta Neurol Taiwan. 2008;17(2):75-81.
10. Deng HH, Xu M. The clinical analysis of fulminant Wilson’s disease in patients with hepatitis B virus infection: a report of 13 cases. Zhonghua Nei Ke Za Zhi. 2016;55(8):628-30.
11. Nalecz A, Socha J, Czlonkowska A, Gajda J. Wilson disease with HCV infections. Pediatr Pol. 1995;70(5):431-4.
12. Lembowicz K, Kryczka W, Walewska-Zielecka B, Kubicka J. Wilson's disease coexisting with viral hepatitis type C: a case report with histological and ultrastructural studies of the liver. Ultrastruct Pathol. 1999;23(1):39-44.
13. [Rozina TP, Rachimova OYu, Lopatkina TN, Ignatova TM. Combination of Wilson disease with chronic HCV infection. Rossiiskiy zhurnal gastroenterologii, gepatologii, koloproctologii, nevrologii i psikhiatrii imeni S.S. Korsakova. 2004;14(2):57-60 (In Russ.)].
14. Manns M, Samuel D, Gane EJ, et al. Ledipasvir and sofosbuvir plus ribavirin in patients with genotype 1 or 4 hepatitis C virus infection and advanced liver disease: a multicentre, open-label, randomised, phase 2 trial. Lancet Infect Dis. 2016;16(6):685-97. https://doi.org/ 10.1016/S1473-3099(16)00052-9
1 ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова», Москва, Россия;
2 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия;
1 Faculty of Medicine, M.V. Lomonosov Moscow State University, Moscow, Russia;
2 I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia