Hepatitis C virus positive patient diagnosed after detection of atypical cryoglobulin

Ongen B., Aksungar F., Cicek B., Akyar I., Coskun A., Serteser M., ...Daha Fazla

WORLD JOURNAL OF CLINICAL CASES, cilt.4, sa.3, ss.81-87, 2016 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 4 Sayı: 3
  • Basım Tarihi: 2016
  • Doi Numarası: 10.12998/wjcc.v4.i3.81
  • Dergi Adı: WORLD JOURNAL OF CLINICAL CASES
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.81-87
  • Anahtar Kelimeler: Cryoglobulinemia, Hepatitis C, Immunosubtraction, Immunotyping, Electrophoresis, MIXED CRYOGLOBULINEMIA, INFECTION, IMMUNOGLOBULINS
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

A 60-year-old male patient presented with jaundice and dark urine for three days, icteric sclerae and skin rash on his legs for six months. Laboratory inves-tigations revealed an atypical cryoglobulinemia with high hepatitis C virus (HCV)-RNA levels. Imaging studies showed cholestasis was accompanying HCV. Capillary zone electrophoresis using immunosubtraction method revealed a polyclonal immunoglobulin G and immunoglobulin A (IgA) monoclonal cryoglobulin and that IgA lambda was absent in immu-nofixation electrophoresis. After a liver biopsy, chronic hepatitis C, HCV related mixed cryoglobulinemia and cryoglobulinemic vasculitis were diagnosed and antiviral therapy was initiated. Our HCV patient presented with cryoglobulinemic symptoms with an atypical cryoglobulinemia that was detected by an alternative method: Immunosubtraction by capillary electrophoresis. Different types of cryoglobulins may therefore have a correlation with clinical symptoms and prognosis. Therefore, the accurate immunotyping of cryoglobulins with alternative methods may provide more information about cryoglobulin-generated pathology.