Adefovir dipivoxil in treatment of decompensated liver cirrhosis patients with YMDD mutation / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
; (6): 470-472, 2005.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-355182
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the efficacy and safety of adefovir dipivoxil in treatment of decompensated liver cirrhosis patients with YMDD motif mutation during lamivudine therapy.</p><p><b>METHODS</b>The disease relapsed in 14 hepatitis B patients with decompensated liver cirrhosis during lamivudine treatment due to the YMDD motif mutation. All 14 patients had positive HVBDNA and active hepatitis, and were evaluated as Child-Pugh Score C (CPS-C). The patients were treated with lamivudine 50 mg/d and adefovir dipivoxil 10 mg/d for 6 months.</p><p><b>RESULTS</b>One patient signed off due to non-hypoxemic hyperlactacidemia; other 13 patients showed decreased serum HBVDNA. All patients had serum HBVDNA < or =10(5) copies/ml and 7 patients had HBVDNA < or =10(4) copies/ml. Six patients regained normal serum ALT level and Child-Pugh scores decreased in all patients.</p><p><b>CONCLUSION</b>Adefovir dipivoxil has satisfied efficacy and safety in treatment of decompensated liver cirrhosis patients with YMDD motif mutation during lamivudine treatment.</p>
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Antivirais
/
Recidiva
/
Virologia
/
Adenina
/
Encefalopatia Hepática
/
Vírus da Hepatite B
/
Estrutura Terciária de Proteína
/
Lamivudina
/
Hepatite B Crônica
/
Motivos de Aminoácidos
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Journal of Zhejiang University. Medical sciences
Ano de publicação:
2005
Tipo de documento:
Artigo