Viral hepatitis in haemophilia: historical perspective and current management

Cas J. Isfordink, Karel J. van Erpecum, Marc van der Valk, Evelien P. Mauser-Bunschoten, Michael Makris

Research output: Contribution to journalReview articleAcademicpeer-review

14 Citations (Scopus)

Abstract

The introduction of clotting factor concentrates has substantially improved the lives of people with clotting factor deficiencies. Unfortunately, the transmission of blood-borne viral infections through these plasma-derived products led to a huge epidemic of human immunodeficiency virus and viral hepatitis in people with haemophilia (PWH). In a significant proportion of PWH exposed to these viruses, the ensuing decades-long chronic infection resulted in excess morbidity and mortality. Fortunately, developments in the safety of blood products, as well as vaccination and highly effective antiviral treatments have improved the prospects of PWH. The present article reviews the background of the viral hepatitis epidemic in PWH, the natural history of hepatitis B and C infections and their long-term management.
Original languageEnglish
Pages (from-to)174-185
Number of pages12
JournalBritish journal of haematology
Volume195
Issue number2
Early online date2021
DOIs
Publication statusPublished - Oct 2021

Keywords

  • HBV
  • HCV
  • HIV
  • haemophilia
  • hepatitis C

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