Demographic and Clinical Factors Influencing the Peripheral Neuropathy in Anti-HCV Positive Patients

Peripheral Neuropathy in Anti-HCV Positive Patients

Authors

  • Sajid Hussain Seelro Department of Neurology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Muslim Ali Lakhair Department of Neurology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Abdul Hafeez Bughio Department of Neurology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan
  • Mumtaz Ali Lakho Department of General Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i4.2927

Keywords:

Peripheral Neuropathy, Hepatitis C Virus, Neurological Manifestations, Neurological Disorders

Abstract

Peripheral neuropathy is a common complication affecting individuals with various underlying conditions, often influenced by factors such as age, gender, and disease duration. Objectives: To assess the prevalence of peripheral neuropathy by age, gender, and disease duration. Methods: It was a cross-sectional descriptive study conducted at the Neurology Department of Jinnah Postgraduate Medical Centre, from March 20, 2021, to September 19, 2021. The total number of patients was 164. The study enrolled patients aged 18-60 of either gender who had peripheral neuropathy. Patients with hepatitis other than hepatitis C, who received treatment for HCV, patients having diabetes mellitus, autoimmune disorder, kidney failure, vitamin B deficiency, thyroid disorders, hematological disorders, alcoholism, HIV infection, drug addiction or toxic agents were excluded. A questionnaire-based study was designed for the collection of data regarding demographics and clinical aspects. Results: The mean age of the study patients was 42.7 ± 18.2 years. Peripheral neuropathy was found in 98 (59.8%) participants. Among 164 patients, 94 (57.3%) were male, while 70 (46.4%) were female. Diabetes mellitus and hypertension were documented in 63 (38.4%) and 85 (51.8%), respectively. Conclusions: It was concluded that gender is statistically significantly associated with the prevalence of peripheral neuropathy in anti-HCV positive patients, while a higher body mass index and extended duration of infection were also associated with peripheral neuropathy, but were not statistically significant.

References

World Health Organization. Global Health Sector Strategies on, Respectively, HIV, Viral Hepatitis and Sexually Transmitted Infections for the Period 2022-2030. World Health Organization. 2022 Jul.

Méndez-Sánchez N, Coronel-Castillo CE, Ramírez-Mejía MM. Chronic Hepatitis C Virus Infection, Extrahepatic Disease and the Impact of New Direct-Acting antivirals. Pathogens. 2024 Apr; 13(4): 339. doi: 10.3390/pathogens13040339. DOI: https://doi.org/10.3390/pathogens13040339

Androutsakos T, Tsantzali I, Karagiannakis DS, Flevari P, Iakovou D, Pouliakis A et al. Peripheral Neuropathy in Patients with Hepatitis C Infection—Reversibility after HCV Eradication: A Single Center Study. Viruses. 2024 Mar; 16(4): 522. doi: 10.3390/v16040522. DOI: https://doi.org/10.3390/v16040522

El Din R, Elhassanien ME, Soliman HH, El Seidy EA. Peripheral Neuropathy in Patients with Hepatitis C Virus Infection: A Clinical and Neurophysiological Study. Tanta Medical Journal. 2019 Jul; 47(3): 130-8. doi: 10.4103/tmj.tmj_2_19. DOI: https://doi.org/10.4103/tmj.tmj_2_19

Qureshi H, Akhter S, Mahmood H, Hamid S, Naveed A, Khan AG et al. Overview of Hepatitis C Elimination Efforts in Pakistan and the Launch of Prime Minister's Programme for the Elimination of Hepatitis C. The Journal of the Pakistan Medical Association. 2024 Dec; 74(12): 2188-90. doi: 10.47391/JPMA.24-97. DOI: https://doi.org/10.47391/JPMA.24-97

Jamali YA, Noonari AG, Khuhro AB, Kalhoro S, Shah H, Gad AG. Prevalence of Hepatitis B and C in Pakistan from 2001 to 2022: A Systematic Review. Journal of Health and Rehabilitation Research. 2023 Dec; 3(2): 316-25. doi: 10.61919/jhrr.v3i2.107. DOI: https://doi.org/10.61919/jhrr.v3i2.107

Stroffolini T and Stroffolini G. Prevalence and Modes of Transmission of Hepatitis C Virus Infection: A Historical Worldwide Review. Viruses. 2024 Jul; 16(7): 1115. doi: 10.3390/v16071115. DOI: https://doi.org/10.3390/v16071115

Abbas SY, Auroj H, Lakho AS, Abro AG, Bano GS, Rajput TH. Frequency of Peripheral Neuropathy in Chronic Hepatitis C Patients Presenting at Liaquat University Hospital, Hyderabad: Peripheral Neuropathy in Chronic Hepatitis C Patients. Pakistan Bio-Medical Journal. 2022 May: 263-6. doi: 10.54393/pbmj.v5i5.473. DOI: https://doi.org/10.54393/pbmj.v5i5.473

Arnold R and Krishnan AV. Neuropathy and Other Neurological Problems in Chronic Kidney Disease. In Management of Chronic Kidney Disease: A Clinician’s Guide. Cham: Springer International Publishing. 2023 Nov: 417-427. doi: 10.1007/978-3-031-42045-0_28. DOI: https://doi.org/10.1007/978-3-031-42045-0_28

Zanone MM, Marinucci C, Ciancio A, Cocito D, Zardo F, Spagone E et al. Peripheral Neuropathy After Viral Eradication with Direct‐Acting Antivirals in Chronic HCV Hepatitis: A Prospective Study. Liver International. 2021 Nov; 41(11): 2611-21. doi: 10.1111/liv.15002. DOI: https://doi.org/10.1111/liv.15002

Moretti R, Giuffrè M, Merli N, Caruso P, Di Bella S, Tiribelli C et al. Hepatitis C Virus-Related Central and Peripheral Nervous System Disorders. Brain Sciences. 2021 Nov; 11(12): 1569. doi: 10.3390/brainsci11121569. DOI: https://doi.org/10.3390/brainsci11121569

Chemello L, Cavalletto L, Ferrari S, Monaco S. Impact of Direct Acting Antivirals (DAA) on Neurologic Disorders in Chronic Hepatitis C. Minerva Gastroenterology. 2021 Sep; 67(3): 234-43. doi: 10.23736/S2724-5985.21.02865-5. DOI: https://doi.org/10.23736/S2724-5985.21.02865-5

Othman AM, Al-hnhna AA, Al-Huraibi BS, Assayaghi RM, Al-Qahtani TY, Jahzar KH et al. Prevalence of Hepatitis C Virus Among Patients with Arthralgia: Is It Logical for Screening?. Virology Journal. 2023 Jul; 20(1): 162. doi: 10.1186/s12985-023-02124-w. DOI: https://doi.org/10.1186/s12985-023-02124-w

Ghous S, Shankar A, Baloch AQ, Khastoori D, Maqsood T, Siddiqui AI. Age-Stratified Mosaic of Neuropathies: A Comprehensive Analysis of the Prevalence and Patterns in Different Age Groups. Pakistan Journal of Neurological Sciences. 2024 Jul; 19(01). doi: 10.56310/pjns.v19i01.327. DOI: https://doi.org/10.56310/pjns.v19i01.327

Kour P. Clinical Profile of Peripheral Neuropathy Patients in Tertiary Care Hospital in Northern India. International Journal of Life Sciences, Biotechnology and Pharma Research. 2023 Apr; 12(2): 2699-2704.

Mapoure NY, Budzi MN, Eloumou SA, Malongue A, Okalla C, Luma HN. Neurological Manifestations in Chronic Hepatitis C Patients Receiving Care in A Reference Hospital in Sub-Saharan Africa: A Cross-Sectional Study. PLOS ONE. 2018 Mar; 13(3): e0192406. doi: 10.1371/journal.pone.0192406. DOI: https://doi.org/10.1371/journal.pone.0192406

Cuciureanu T, Huiban L, Chiriac S, Cojocariu C, Stanciu C, Trifan A. Chronic Hepatitis C Virus Infection And Peripheral Neuropathy. The Medical-Surgical Journal. 2020 Mar; 124(1): 34-41.

Kleefeld F, Arendt G, Neuen-Jacob E, Maschke M, Husstedt I, Obermann M et al. Neurological complications of hepatitis C infections. Der Nervenarzt. 2021 Feb; 92: 144-9. doi: 10.1007/s00115-020-00999-6. DOI: https://doi.org/10.1007/s00115-020-00999-6

Roth B, Schiro DB, Ohlsson B. Diseases Which Cause Generalized Peripheral Neuropathy: A Systematic Review. Scandinavian Journal of Gastroenterology. 2021 Sep; 56(9): 1000-10. doi: 10.1080/00365521.2021.1942542. DOI: https://doi.org/10.1080/00365521.2021.1942542

Ripellino P, Lascano AM, Scheidegger O, Schilg‐Hafer L, Schreiner B, Tsouni P et al. Neuropathies Related to Hepatitis E Virus Infection: A Prospective, Matched Case–Control Study. European Journal of Neurology. 2024 Jan; 31(1): e16030. doi: 10.1111/ene.16030. DOI: https://doi.org/10.1111/ene.16030

Dai CY, Chuang WL, Yu ML. EASL Recommendations on Treatment of Hepatitis C: Final Update of the Series–Some Issues. Journal of Hepatology. 2021 Feb; 74(2): 473-4. doi: 10.1016/j.jhep.2020.10.013. DOI: https://doi.org/10.1016/j.jhep.2020.10.013

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Published

2025-04-30
CITATION
DOI: 10.54393/pjhs.v6i4.2927
Published: 2025-04-30

How to Cite

Seelro, S. H., Lakhair, M. A., Bughio, A. H., & Lakho, M. A. (2025). Demographic and Clinical Factors Influencing the Peripheral Neuropathy in Anti-HCV Positive Patients: Peripheral Neuropathy in Anti-HCV Positive Patients. Pakistan Journal of Health Sciences, 6(4), 195–199. https://doi.org/10.54393/pjhs.v6i4.2927

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