Abstract (EN):
Although graft reinfection with Hepatitis C (HCV) virus, after liver transplantation, is the rule, the clinical consequences of reinfection are highly variable. A subset of transplanted patients with recurrent hepatitis C develops severe graft injury, but there has been no consistent correlation between viral or host factors that might predict recurrence or the progression of liver injury. Efficient prophylaxis has not been achieved yet and anti-viral treatment, although promising, did not achieve sustained results that might promote a more widespread use. Medium-term survival is good but there exists some concern with regard to the long-term outcome, and the factors that might influence the development of end-stage liver disease. Sustained combination treatment may prove to be the only strategy to reduce morbidity and mortality in the ever growing number of immunossupressed HCV reinfected patients.
Language:
Portuguese
Type (Professor's evaluation):
Scientific