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라미부딘으로 유도된 b형 간염 표면항원 소실 예에서의 간내 바이러스 양상

Other Titles
 Intrahepatic HBV-DNA of the patients with HBs seroclearance by Lamivudine 
Authors
 이진형  ;  김자경  ;  박영년  ;  류한작  ;  김성애  ;  안상훈  ;  한광협 
Citation
 Korean Journal of Medicine, Vol.71(Suppl1) : 998-1002, 2006 
Journal Title
 Korean Journal of Medicine 
ISSN
 1226-329X 
Issue Date
2006
Abstract
The ideal goal for the treatment of chronic hepatitis B is the complete eradication of HBV. With prolonged lamivudine therapy, the HBeAg seroconversion rate can be increased. It has been reported that in some Caucasian patients, lamivudine induced not only HBeAg seroconversion, but also HBsAg seroconversion. However, such reports about Asian patients are rare. We report here on two Korean patients who experienced HBsAg seroclearance by lamivudine, and they had different HBV-DNA liver statuses. They were 35 and 30 years old males and they were treated with lamivudine for 36 and 18 months, respectively. As the HBeAg and HBsAg were lost, both patients developed anti-HBs. Liver biopsy revealed improvement of inflammation and fibrosis in one patient. Even though the other patient also developed anti-HBs, HBV-DNA was still detected in the liver tissue. Our cases show that lamivudine can bring HBsAg seroclearance in Korean patients suffering with chronic hepatitis B, but further research is needed to eliminate HBV-DNA in liver tissue.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ja Kyung(김자경) ORCID logo https://orcid.org/0000-0001-5025-6846
Ryu, Han Jak(류한작)
Park, Young Nyun(박영년) ORCID logo https://orcid.org/0000-0003-0357-7967
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
Han, Kwang-Hyub(한광협) ORCID logo https://orcid.org/0000-0003-3960-6539
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111037
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